Rebecca Moore, MSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

5100 SW Macadam Ave Ste 400
Portland, OR 97239-3854

Phone

(503) 244-5211

Fax

(503) 244-5506

NPI assigned

Jun 9, 2016

Sex

Female

Sole proprietor

No

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

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.

• Lines for Life

  • Community/Behavioral Health Agency
  • Portland, OR
  • NPI 1891246070
  NPD (past)

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

{
    "created_epoch": "1465430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465430400000",
    "number": "1982053906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 SW MACADAM AVE STE 400",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393854",
            "telephone_number": "503-244-5211",
            "fax_number": "503-244-5506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 SW MACADAM AVE STE 400",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393854",
            "telephone_number": "503-244-5211",
            "fax_number": "503-244-5506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "REBECCA",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-09",
        "last_updated": "2016-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathaniel Randall Moore, PHARM.D.
• Patricia Edwards Moore, LMT
• Rachel Kathleen Moore, PA-C
• Rachel L Moore, CRM/QMHA-R
• Raina Moore
• Rhonda Roseanne Moore
• Ross Moore
• Ryann Mishell Moore, LCSW
• Sarah Ellen Moore, M.D.
• Stephanie Cherie Moore, RD, CD

• Mental Health Counselor in Portland, OR
• Providers in Portland, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2016; 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.