THERESA DENISE MOORE (NPI# 1376983387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376983387 |
| Entity Type | Individual |
| Full Name | THERESA DENISE MOORE |
| Other Name | MISS THERESA DENISE EVERETT |
| Credential | LPC |
| Practice Address |
1411 E 65th Pl 2w Chicago IL 60637-4439 |
| Practice Telephone | 7735878240 |
| Practice Fax Number | 7734356480 |
| Mailing Telephone | 7735878240 |
| Mailing Fax Number | 7734356480 |
| Enumeration Date | 2013-07-05 |
| Last Update Date | 2013-07-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
178.007134 | IL | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
178.007134 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104224104 | Theresa Moore | Dental Hygienist | 1250 S Parker Rd Ste 102, Denver, CO 80231-2178 | 2014-12-08 |
| 1477844769 | Theresa Lynn Moore | Licensed Practical Nurse | 7398 Lime Kiln Rd, Wayland, NY 14572-9213 | 2011-04-21 |
| 1467549931 | Theresa F Moore | Counselor | 117a Tradewynd Dr, Lynchburg, VA 24502-3112 | 2006-10-06 |
| 1316557960 | Theresa Marie Moore | Nurse's Aide | 439 Sw Michigan St, Lake City, FL 32025-0440 | 2020-08-07 |
| 1316561202 | Theresa Lynn Moore | Registered Nurse | 1795 Jet Wing Dr, Colorado Springs, CO 80916-2332 | 2020-06-05 |
| 1497101364 | Theresa Marie Moore | Counselor | 2001 W Orange Grove Rd Ste 604, Tucson, AZ 85704-1141 | 2016-05-10 |
| 1457732398 | Theresa Marie Moore | Speech-Language Pathologist | 725 American Ave, Waukesha, WI 53188-5031 | 2015-06-16 |
| 1023368339 | Theresa Moore | Pharmacist | 718 Mills Ave, Greenville, SC 29605 | 2012-09-13 |
| 1659421741 | Theresa Moore | Nurse Practitioner | 7000 E Belleview Ave Ste 310, Greenwood Village, CO 80111-1628 | 2007-01-11 |
| 1376621920 | Theresa M. Moore | Hospitalist | 2200 Ofarrell St, San Francisco, CA 94115-3357 | 2006-11-01 |
| Street Address |
1411 E 65TH PL 2W |
| City | CHICAGO |
| State | IL |
| Zip Code | 60637-4439 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386263234 | Pooja Ramnani | Pharmacist | 5841 S Maryland Ace, Chicago, IL 60637 | 2020-04-10 |
| 1780220079 | Tara Coleman | Non-emergency Medical Transport (VAN) | 808 E. 63rd Street, Suite 135, Chicago, IL 60637 | 2019-11-21 |
| 1366003501 | Valerie Silas | Case Management | 6330 S King Drive, Chicago, IL 60637 | 2019-06-27 |
| 1205391620 | Derek Joseph Fiedler | Anesthesiology | University of Chicago, 5841 S Maryland Ave, Chicago, IL 60637 | 2019-02-11 |
| 1821573072 | Ugochinyere Ohaja | Registered Nurse | 5656 South Maryland Avenue, Chicago, IL 60637 | 2018-10-03 |
| 1053899138 | Won Hee Oh | Physician Assistant | 5841 S. Maryland Ave., Mc5040, Chicago, IL 60637 | 2018-08-01 |
| 1558854695 | Rasidat Adeduntan | Internal Medicine | 5841 S. Maryland Avenue, [7082], Chicago, IL 60637 | 2018-06-13 |
| 1194235283 | Melissa Ann Arangoa | Registered Nurse | 5841 S. Maryland Ave, Mc 1083, Chicago, IL 60637 | 2017-10-03 |
| 1558880633 | Marni Harris | Optometrist | 5841 S Maryland Ave # S421, Chicago, IL 60637 | 2017-09-11 |
| 1992235105 | Vidya Mahavadi | Pediatrics | 5841 S. Maryland Avenue, Mail Code 8016, Chicago, IL 60637 | 2017-06-20 |
| Find all providers in zip 60637 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730780602 | Saba Aqel | Counselor | 107 W Van Buren St Ste 215, Chicago, IL 60605-1054 | 2020-11-05 |
| 1538768155 | Angelicare LLC | Counselor | 6650 N Northwest Hwy Ste 215, Chicago, IL 60631-1363 | 2020-10-23 |
| 1013516145 | Modern Soul Therapy LLC | Counselor | 2000 N Racine Ave Ste 2160, Chicago, IL 60614-4045 | 2020-10-20 |
| 1477151942 | Mansukh Sandhu | Counselor | 8765 W Higgins Rd Ste 450, Chicago, IL 60631-4172 | 2020-10-15 |
| 1881291920 | Freddy Reyes | Counselor | 931 W Leland Ave Apt 405, Chicago, IL 60640-6611 | 2020-10-01 |
| 1508463704 | Tynisha Jointer | Counselor | 7710 S Saint Lawrence Ave, Chicago, IL 60619-2925 | 2020-10-01 |
| 1851908206 | Manqual Chambers | Counselor | 2801 S King Dr, Chicago, IL 60616-2949 | 2020-09-29 |
| 1184231672 | Francesca Cottone | Counselor | 1616 N Nordica Ave, Chicago, IL 60707-4317 | 2020-09-28 |
| 1952916322 | Elle Skelton | Counselor | 2219 N Seeley Ave Apt 3f, Chicago, IL 60647-3363 | 2020-09-13 |
| 1437764305 | Donita M Lester | Counselor | 7022 S South Shore Dr Apt 214, Chicago, IL 60649-2229 | 2020-09-09 |
| Find all providers in CHICAGO | ||||
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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.