MARISSA MOORE (NPI# 1386079895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386079895 |
| Entity Type | Individual |
| Full Name | MARISSA MOORE |
| Credential | LMHC |
| Practice Address |
252 Java St Ste 326 Brooklyn NY 11222 |
| Mailing Address |
252 Java St Ste 326 Brooklyn NY 11222-5558 |
| Practice Telephone | 9173763564 |
| Enumeration Date | 2013-09-04 |
| Last Update Date | 2018-12-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
005727 | NY | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 936 Broadway, New York, NY 100106013 | 2128794900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912397050 | Marissa Moore | Physical Therapist | 5610 Bethelview Rd Ste 400, Cumming, GA 30040-7523 | 2015-01-28 |
| 1497379887 | Marissa L Moore | Counselor | 103 2nd Ave, Chesapeake, OH 45619-1134 | 2020-06-02 |
| 1952942971 | Marissa Jane Moore | Counselor | 1885 Thompson Rd, Coos Bay, OR 97420-2152 | 2019-10-01 |
| 1295297638 | Marissa Moore | Student in an Organized Health Care Education/Training Program | 294 Summar Dr, Jackson, TN 38301-3915 | 2019-04-04 |
| 1134637937 | Marissa Opal Moore | Counselor | 815 S Ash St, Nevada, MO 64772-3222 | 2018-01-15 |
| 1629505706 | Marissa Lynn Moore | Behavior Technician | 2701 E Fowler Ave, Tampa, FL 33612-6274 | 2017-05-19 |
| 1750703898 | Marissa Moore | Counselor | 15455 65th Ave S, Tukwila, WA 98188-2534 | 2014-01-08 |
| Street Address |
252 JAVA ST STE 326 |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962982173 | Therapy Brooklyn Mental Health Counseling Pllc | Counselor | 252 Java St Ste 326, Brooklyn, NY 11222-5558 | 2018-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972073153 | Fizza Saeed | Chiropractor | 153 Greenpoint Ave, Brooklyn, NY 11222 | 2018-11-29 |
| 1659819977 | Sylwia Agnieszka Arancibia | Occupational Therapy Assistant | 47 Monitor St, Apt.1, Brooklyn, NY 11222 | 2017-02-07 |
| 1629524467 | Natalya Meykson | Licensed Practical Nurse | 595 Morgan Ave, 2nd Floor, Brooklyn, NY 11222 | 2016-08-31 |
| 1831556539 | Norma Jenkins | Registered Nurse | 131 Norman Avenue, Brooklyn, NY 11222 | 2016-01-26 |
| 1770952046 | Allison Nelson Romero | Counselor | 254 Driggs Ave, 3l, Brooklyn, NY 11222 | 2015-09-17 |
| 1255737821 | Shenell Evans | Psychologist | 231 Norman Ave Ste 212, Brooklyn, NY 11222 | 2014-11-10 |
| 1952728883 | Thomas Hays | Pediatrics | 41 Hausman St, Brooklyn, NY 11222 | 2014-03-28 |
| 1619317401 | Stewart Lee Morales | Health Educator | 198 Calyer St., #1l, Brookklyn, NY 11222 | 2013-06-26 |
| 1871936534 | Reena Thomas | Family Medicine | 833 Manhattan Ave, Brooklyn, NY 11222 | 2013-04-12 |
| 1538419346 | Cvs Albany LLC | Durable Medical Equipment & Medical Supplies | 859 Manhattan Ave, Brooklyn, NY 11222 | 2012-09-19 |
| Find all providers in zip 11222 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154540 | Rachel Steinhardt | Counselor | 2917 Avenue M Side Door, Brooklyn, NY 11210-4616 | 2020-11-05 |
| 1164021705 | Valesta Judy Lynch | Counselor | 1660 E New York Ave Unit 211, Brooklyn, NY 11212-8016 | 2020-10-24 |
| 1184231649 | Yehoshua Yehuda Tabi | Counselor | 1975 52nd St, Brooklyn, NY 11204-1726 | 2020-09-29 |
| 1023625977 | Caitlin Armstrong | Counselor | 57 7th Ave, Brooklyn, NY 11217-1462 | 2020-09-24 |
| 1073129805 | Madison Liddle | Counselor | 371 Humboldt St Apt 208, Brooklyn, NY 11211-2988 | 2020-09-17 |
| 1235744509 | Elizabeth Daiello | Counselor | 208 Bay 44th St, Brooklyn, NY 11214-6742 | 2020-09-13 |
| 1811502503 | Melanie Nicole Cooke | Counselor | 629 Sterling Pl Apt 3r, Brooklyn, NY 11238-4820 | 2020-09-10 |
| 1376158139 | Gail Herskowitz | Counselor | 1170 Ocean Pkwy Apt 10g, Brooklyn, NY 11230-4044 | 2020-09-09 |
| 1154932671 | Anicka Hamilton | Counselor | 208 Washington Park, Brooklyn, NY 11205-4057 | 2020-08-10 |
| 1083224018 | Sophie Angelique Desnoyers | Counselor | 2 Saint Nicholas Ave # 3120, Brooklyn, NY 11237-2337 | 2020-08-04 |
| Find all providers in BROOKLYN | ||||
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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.