Jeremy Moot, LMHCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MC60966769 Issued in WA

Practice address

819 N 49TH St Ste 417
Seattle, WA 98103-6577

Phone

(240) 366-7780

NPI assigned

Oct 17, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1571270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571270400000",
    "number": "1932742392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 N 79TH ST APT 101",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981034851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 N 49TH ST STE 417",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981036577",
            "telephone_number": "240-366-7780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOOT",
        "first_name": "JEREMY",
        "credential": "LMHCA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-17",
        "last_updated": "2019-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC60966769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jeremy@doorsopentherapy.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "819 N 49th St Ste 417",
            "city": "Seattle",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981036577",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shawn William Moore, PA-C
• Susan Kelly Moore, L.AC.
• Virginia Wynn Moore, LMT
• Colby Moores, LMHCA
• Rebecca Jean Moorman, LMP
• Peter Allen Moote
• Audriana Loraine Mooth, DO
• Sophia X Mora-Fitzgerald, LSWAIC
• Marc W Mora, M.D.
• Robert Joseph Moraca, M.D.

• Mental Health Counselor in Seattle, WA
• Providers in Seattle, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2019; 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.