Natalie Moore, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1135 NW 23Rd Ave Ste D
Gainesville, FL 32609-3449

Phone

(386) 454-0660

NPI assigned

Mar 2, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• Natalie Land Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Livingwell Therapy LLC

  • Mental Health Counselor
  • Lake City, FL
  • NPI 1982317236
  NPD Authorized official
• Brooks Behavioral LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Gainesville, FL
  • NPI 1912548991

  Addiction (Substance Use Disorder)

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1456876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668556800000",
    "number": "1902266026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1162 NW OLD MILL DR",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320556005",
            "telephone_number": "386-590-7662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 NW 23RD AVE STE D",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326093449",
            "telephone_number": "386-454-0660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1162 NW Old Mill Dr",
            "address_purpose": "LOCATION",
            "city": "Lake City",
            "state": "FL",
            "postal_code": "320556005",
            "country_code": "US",
            "telephone_number": "386-590-7662",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "NATALIE",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-02",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "FL",
            "license": "IMH14416",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115539100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LICENSE",
            "identifier": "LS30633797900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NATALIE",
            "last_name": "LAND",
            "credential": "RMHI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kevin Moore
• Lucie Moore
• Marshelle Katherine Moore, LCSW
• Matthew Macahan Moore
• Michael Moore
• Pamela Susan Moore, APRN
• Rachael Frances Moore, PHARMD
• Rachel E Moore, LMT
• Ronda Moore, DDS
• Sally Moore

• Mental Health Counselor in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.