Active NPI
Aubrey Moore
- Professional Counselor
- Richland, MO
National Provider Identifier
1932519907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2014012313
- Practice address
- 2505 Shepherd Rd
Richland, MO 65556-6372 - Phone
- (573) 528-0867
- NPI assigned
- Apr 30, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2014012313 | MO | Primary |
Addresses
Primary practice location
2505 Shepherd Rd
Richland, MO 65556-6372
Mailing address
2505 Shepherd Rd
Richland, MO 65556-6372
Phone (573) 528-0867
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2014012313 | MO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731024000000",
"number": "1932519907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2505 SHEPHERD RD",
"city": "RICHLAND",
"state": "MO",
"postal_code": "655566372",
"telephone_number": "573-528-0867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2505 SHEPHERD RD",
"city": "RICHLAND",
"state": "MO",
"postal_code": "655566372",
"telephone_number": "573-528-0867"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "AUBREY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-04-30",
"last_updated": "2024-11-08",
"certification_date": "2024-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2014012313",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richland, MO
- Christina Robyn Marchbank, CPM
- Elizabeth Bernadette Melendez-Bonnot, MA, LPC
- Mercy Clinic Springfield Communities
- Mercy Hospital Lebanon
- Cira Monnig, CNP
- Zanetta R Morrow, OT L
- Lee Scott Powers, DDS
- Barbara Ann Proctor, M.A., QMHP, LPC
- Pulaski County R-IV School District
- Pulaski County Sheltered Workshop
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.