Moyenda Anwisye Thompson

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2011040308 Issued in MO

Practice address

1422 Granville PL
Saint Louis, MO 63112-4202

Phone

(314) 749-5954

NPI assigned

Dec 23, 2013

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Clear Journey Counseling & Professional Services, LLC

  • Professional Counselor
  • Saint Louis, MO
  • NPI 1588545016

  Professional

  NPD

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

{
    "created_epoch": "1387756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387756800000",
    "number": "1962823666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29033",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631120733",
            "telephone_number": "314-749-5954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1422 GRANVILLE PL",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631124202",
            "telephone_number": "314-749-5954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANWISYE THOMPSON",
        "first_name": "MOYENDA",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-12-23",
        "last_updated": "2013-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2011040308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renata Anusic
• Imran John Anwar, MD
• Obaid Farooq Anwar, MD
• Shafkat Anwar, MD
• Siddiq Anwar, MBBS
• Anxiety & Behavioral Medicine Center Inc
• Anxiety Specialists of St. Louis
• Hayden Allen Anz, MD
• Ellen Barry Anzalone, APRN-CNP
• Joann Anzalone

• All providers in Saint Louis, MO
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2013; 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.