Donna M. Moore, LICSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

140 Issued in NH

Practice address

8 Union St
Concord, NH 03301-4249

Phone

(603) 229-0300

Fax

(603) 229-4599

NPI assigned

Jan 11, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902956816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 363",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033020363",
            "telephone_number": "603-229-0300",
            "fax_number": "603-229-4599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 UNION ST",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033014249",
            "telephone_number": "603-229-0300",
            "fax_number": "603-229-4599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "DONNA",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NH",
            "license": "140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30010795",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "1408008Y0NH01",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA BEHAVIORAL HEALTH",
            "identifier": "4593602",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Arthur V.O. Moore, MD
• Catherine Eleni Moore, M.ED., LCMHC
• Chelsea Moore, BA
• Christopher Moore
• Diana Moore
• Kelly Moore
• Nicole Alexandra Moore, APRN
• Shahab Moossavi, M.D.
• Joseph Mootz, MD
• Kayla Mora

• Mental Health Counselor in Concord, NH
• Providers in Concord, NH by specialty
• Mental Health Counselor in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.