KATHLEEN A MOORE (NPI# 1346572740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346572740 |
| Entity Type | Individual |
| Full Name | KATHLEEN A MOORE |
| Credential | MS, LLPC |
| Practice Address |
1221 W Laketon Ave Muskegon MI 49441-2866 |
| Practice Telephone | 2317597909 |
| Practice Fax Number | 2317598618 |
| Mailing Telephone | 2317597909 |
| Mailing Fax Number | 2317598618 |
| Enumeration Date | 2010-02-10 |
| Last Update Date | 2010-02-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | 6401011331 | MI | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
6401011331 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720559248 | Kathleen M Moore | Psychologist | 918 Cattail Ct, Sandpoint, ID 83864-5094 | 2018-12-10 |
| 1649672544 | Kathleen Moore | Specialist | 830 Shore Rd, Apt 2i, Long Beach, NY 11561-5401 | 2014-09-23 |
| 1770826687 | Kathleen L. Moore | Psychologist | 417 S Irena Ave, Redondo Beach, CA 90277-3819 | 2013-03-28 |
| 1932448206 | Kathleen Louise Moore | Dietitian, Registered | 3267 Mineral Springs Trl, Mt Pleasant, MI 48858-9694 | 2013-02-06 |
| 1558692897 | Kathleen L Moore | Licensed Practical Nurse | 99 Wood Rd, Freeville, NY 13068-9780 | 2010-01-27 |
| 1326603655 | Kathleen Moore | Occupational Therapist | 100 Groton Pkwy, Rochester, NY 14623-4540 | 2019-05-02 |
| 1477037257 | Kathleen D Moore | Speech-Language Pathologist | 3305 Central Park Village Dr, Eagan, MN 55121-7707 | 2018-09-18 |
| 1679055370 | Kathleen Bailey Moore | Registered Nurse | 109 W Main St, Moncks Corner, SC 29461-2673 | 2018-08-30 |
| 1255810768 | Kathleen S Moore | Speech-Language Pathologist | 9846 Hwy 31 E, Tyler, TX 75705-2329 | 2018-08-07 |
| 1578070553 | Kathleen Faye Moore | Counselor | 665 Philadelphia St, Indiana, PA 15701-3941 | 2017-12-29 |
| Street Address |
1221 W LAKETON AVE |
| City | MUSKEGON |
| State | MI |
| Zip Code | 49441-2866 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720692494 | Memphis Chardell Sandoval | Nurse Practitioner | 131 S. Seaway Dr., Muskegon, MI 49441 | 2020-09-01 |
| 1598222952 | Kimberlee K Erickson-worpel Ma,llp | Psychologist | 3611 Henry Street, Norton Shores, MI 49441 | 2019-02-21 |
| 1164921011 | Brittany Ann Bayne | Behavior Technician | 640 Seminole, Muskegon, MI 49441 | 2018-02-06 |
| 1497273403 | Rx Optical Laboratories, Inc. | Optometrist | 3445 Henry St, Norton Shores, MI 49441 | 2017-08-30 |
| 1801320072 | Gentle Souls Home Care, LLC | In Home Supportive Care | 2743 Henry Street Pmb #117, Muskegon, MI 49441 | 2017-04-14 |
| 1467814889 | Lyle Karp | Hearing Instrument Specialist | 3145 Henry St., Muskegon, MI 49441 | 2016-03-24 |
| 1649653817 | Jessica Marie Lambert | Dentist | 5978 Harvey St., Muskegon, MI 49441 | 2015-07-06 |
| 1114320595 | Mark Reider | Counselor | 3944 Grand Haven Rd Apt 204c, Norton Shores, MI 49441 | 2014-09-30 |
| 1679826002 | Kathleen M Dole | Social Worker | 800 E Ellis Rd Ste 222, Norton Shores, MI 49441 | 2012-10-23 |
| 1144523119 | Terri Lee Garza | Social Worker | 1095 Third St, Muskegon, MI 49441 | 2010-12-14 |
| Find all providers in zip 49441 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285233437 | Emmitt Melvin Davis Jr. | Counselor | 316 Morris Ave Ste 200, Muskegon, MI 49440-1154 | 2020-10-20 |
| 1164080412 | Kristine Kay Coffee | Counselor | 1571 Joslyn Rd, Muskegon, MI 49445-2635 | 2019-06-02 |
| 1932638673 | Reconciliation Counseling Services LLC | Counselor | 3162 Heights Ravenna Rd Unit E, Muskegon, MI 49444-5403 | 2017-06-07 |
| 1093171688 | Karli Baldus | Counselor | 1670 Hampstead Dr, Muskegon, MI 49445-3515 | 2016-01-12 |
| 1407226806 | Tracy Norris Slager | Counselor | 3870 Eastbrook Dr, Muskegon, MI 49444-4174 | 2015-09-29 |
| 1962881862 | Hackley Community Care Center Inc | Counselor | 1150 Amity Ave, Muskegon, MI 49442-3713 | 2015-05-26 |
| 1881073781 | Hackley Community Care Center Inc | Counselor | 480 Bennett St, Muskegon, MI 49442-2133 | 2015-05-26 |
| 1699154591 | Hackley Community Care Center Inc | Counselor | 2441 Sanford St, Muskegon, MI 49444-1438 | 2015-05-26 |
| 1063891968 | Hackley Community Care Center Inc | Counselor | 125 Catherine Ave, Muskegon, MI 49442-3331 | 2015-05-26 |
| 1508245408 | Hackley Community Care Center Inc | Counselor | 80 W Southern Ave, Muskegon, MI 49441-2541 | 2015-05-26 |
| Find all providers in MUSKEGON | ||||
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| 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.