NICOLE SUSAN MOORE (NPI# 1235795618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235795618 |
| Entity Type | Individual |
| Full Name | NICOLE SUSAN MOORE |
| Credential | MFT |
| Practice Address |
2716 Wilshire Blvd Santa Monica CA 90403-4706 |
| Practice Telephone | 3109579191 |
| Mailing Telephone | 3109579191 |
| Enumeration Date | 2019-05-11 |
| Last Update Date | 2019-05-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 105134 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760968044 | Nicole D Moore | Social Worker | 1921 N. Pointe Dr, Suite 280, Durham, NC 27705 | 2018-07-19 |
| 1578004867 | Nicole Moore | Counselor | 821 Delaware Ave Sw, Unit A, Washington, DC 20024-4207 | 2017-03-20 |
| 1659826766 | Nicole E. Moore | Counselor | 12307 Elk Meadow Dr, Stafford, TX 77477-2297 | 2016-08-18 |
| 1477946986 | Nicole Moore | Registered Nurse | 2063 Buchtel St, Twinsburg, OH 44087-2052 | 2015-03-07 |
| 1750788188 | Nicole Moore | Nurse Practitioner | 22 S Greene St Ste S10b00, Baltimore, MD 21201-1544 | 2014-12-01 |
| 1164828950 | Nicole Moore | Social Worker | 18831 E 58th Ave, Unit C, Denver, CO 80249-8353 | 2014-11-06 |
| 1023393832 | Nicole Moore | Pharmacist | 1008 Summit Blvd, Frisco, CO 80443 | 2011-10-13 |
| 1164726097 | Nicole Moore | Social Worker | 123 E Century Blvd, Los Angeles, CA 90003-4709 | 2011-01-06 |
| 1326292335 | Nicole E Moore | Speech-Language Pathologist | 10 Reid Ln, Millstone Township, NJ 08535-8142 | 2008-11-05 |
| 1659547743 | Nicole Marie Moore | Pharmacist | 7719 Main St, Fogelsville, PA 18051-1600 | 2008-05-08 |
| Street Address |
2716 WILSHIRE BLVD |
| City | SANTA MONICA |
| State | CA |
| Zip Code | 90403-4706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427520972 | Isobel Gardner | Marriage & Family Therapist | 2730 Wilshire Boulevard #650, Santa Monica, CA 90403 | 2018-12-21 |
| 1477030369 | Jennifer Garcia | Dentist | 2901 Wilshire Blvd Ste 255, Santa Monica, CA 90403 | 2018-07-23 |
| 1215435847 | The Balance Lab Physical Therapy and Fitness | Physical Therapist | 2924 Wilshire Blvd, Santa Monica, CA 90403 | 2018-01-29 |
| 1306354634 | Sea Change Santa Monica, Lp | Clinic/Center | 1051 Princeton St, Santa Monica, CA 90403 | 2018-01-22 |
| 1114446226 | Jafary Foot & Ankle Specialists LLC | Podiatrist | 2121 Wilshire Blvd Ste 101, Santa Monica, CA 90403 | 2017-09-11 |
| 1023553906 | Jory Faermark | Speech-Language Pathologist | 1158 26th Street, #417, Santa Monica, CA 90403 | 2016-12-30 |
| 1376095042 | William Michael Thornton | Chiropractor | 2118 Wilshire Blvd, #577, Santa Monica, CA 90403 | 2016-10-28 |
| 1801251723 | Lisa Lavoie | Naturopath | 1-935 Euclid St, Santa Monica, CA 90403 | 2015-12-18 |
| 1376915793 | Lisa Hanes | Marriage & Family Therapist | 1150 Yale Street, Suite 2, Santa Monica, CA 90403 | 2015-10-25 |
| 1386015386 | Natalie Kazarian | Marriage & Family Therapist | 2116 Wilshire Blvd Ste 241, Santa Monica, CA 90403 | 2015-10-15 |
| Find all providers in zip 90403 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447851266 | Gloria Alice Lakin | Marriage & Family Therapist | 2720 Neilson Way # 5564, Santa Monica, CA 90405-4060 | 2020-11-06 |
| 1295335420 | Betsy Carol Cantor | Marriage & Family Therapist | 1011 Euclid St Unit E, Santa Monica, CA 90403-4296 | 2020-10-27 |
| 1306444666 | Andrew Cooper Wasser | Marriage & Family Therapist | 2730 Wilshire Blvd Ste 620, Santa Monica, CA 90403-4755 | 2020-10-09 |
| 1386250942 | Allison Nicole Crooks | Marriage & Family Therapist | 2444 Wilshire Blvd Ste 607, Santa Monica, CA 90403-5814 | 2020-09-18 |
| 1902411374 | Maura Tousignant | Marriage & Family Therapist | 1410 15th St Apt 23, Santa Monica, CA 90404-2724 | 2020-09-12 |
| 1285252668 | Erika Morris | Marriage & Family Therapist | 1621 Centinela Ave Apt E, Santa Monica, CA 90404-4262 | 2020-07-11 |
| 1376168658 | Rosa Morrow | Marriage & Family Therapist | 844 Grant St Apt D, Santa Monica, CA 90405-1361 | 2020-06-11 |
| 1992327357 | Kimberly Sandra Benning | Marriage & Family Therapist | 2029 Olympic Blvd Apt 112, Santa Monica, CA 90404-3964 | 2020-05-08 |
| 1710507082 | James Gilbert Cunningham | Marriage & Family Therapist | 1708 Olympic Blvd, Santa Monica, CA 90404 | 2020-04-16 |
| 1487283537 | Stephanie Gilbert | Marriage & Family Therapist | 528 Arizona Ave Ste 220, Santa Monica, CA 90401-1442 | 2020-04-01 |
| Find all providers in SANTA MONICA | ||||
| City | SANTA MONICA |
| Zip Code | 90403 |
Please comment or provide details below to improve the information on NICOLE SUSAN MOORE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.