Moten Therapeutic Services

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

MOTEN THERAPEUTIC SERVICES

Practice address

4117 Fitzpatrick Blvd
Montgomery, AL 36116-4844

Phone

(773) 354-3103

NPI assigned

Mar 11, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Brandon Moten, LPCNPI 1255997680

Title

Managing Partner

Phone

(773) 354-3103

Specialties & licenses 1

Addresses

Other names 1

• Moten Therapeutic Services Doing business as

Tax ID family

Moten Therapeutic Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Moten Therapeutic Services

  • Professional Counselor
  • Montgomery, AL
  • NPI 1881395036
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brandon Moten, LPC

  • Professional Counselor
  • Montgomery, AL
  • NPI 1255997680
  NPD Authorized official

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

{
    "created_epoch": "1615420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615420800000",
    "number": "1902481906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4117 FITZPATRICK BLVD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361164844",
            "telephone_number": "773-354-3103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4117 FITZPATRICK BLVD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361164844",
            "telephone_number": "773-354-3103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOTEN THERAPEUTIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-11",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A",
        "authorized_official_last_name": "MOTEN",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "773-354-3103",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moten Therapeutic Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jasmine Morton
• Daniel Mose III, BS
• Beatrice Charmaine Mosier, PH.D.
• Frederick M Moss, MD
• Moten Therapeutic Services
• Brandon Moten, LPC
• Breana Moultry
• Mount Everest Health LLC
• Brittney Mount, CRNP
• Heather Ellis Mount, PT, DSC

• Professional Counselor in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Professional Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2021; 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.