Breanna Kathleen Moore, ALC, NCC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

C2918A Issued in AL

Practice address

2127 14TH Ave S
Birmingham, AL 35205-3900

Phone

(205) 575-8216

NPI assigned

Aug 2, 2017

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

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.

• Avail Services, LLC

  • Mental Health Counselor
  • Birmingham, AL
  • NPI 1467800854
  NPD (past)

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

{
    "created_epoch": "1501632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501632000000",
    "number": "1992229769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2127 14TH AVE S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352053900",
            "telephone_number": "205-575-8216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2127 14TH AVE S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352053900",
            "telephone_number": "205-575-8216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "BREANNA",
        "middle_name": "KATHLEEN",
        "name_prefix": "Ms.",
        "credential": "ALC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-02",
        "last_updated": "2017-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AL",
            "license": "C2918A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandria Moore, RBT
• Angela Helen Moore
• Bobbie Moore
• Bonnie Elizabeth Moore, MD
• Brandon Paul Moore, D.O.
• Caitlin Moore, PA-C
• Camryn Coley Moore, MD
• Carrie Malone Moore, OT
• Charles K. Moore, MD
• Christine Lara Moore, PT

• Counselor in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2017; 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.