GARY MOORE (NPI# 1487120275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1487120275 |
Entity Type | Individual |
Full Name | GARY MOORE |
Credential | T-LPC |
Practice Address |
350 S Broadway Ave Wichita KS 67202-4304 |
Mailing Address |
271 W 3rd St N Ste 600 Wichita KS 67202-1223 |
Practice Telephone | 3166609600 |
Practice Fax Number | 3166609660 |
Mailing Telephone | 3166607600 |
Mailing Fax Number | 3169415075 |
Enumeration Date | 2018-10-18 |
Last Update Date | 2018-10-18 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
3313 | KS | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497285266 | Gary Thomas Moore | Behavior Technician | 6311 Bonaire Ave, New Port Richey, FL 34653-1601 | 2017-06-14 |
1316016967 | Gary Carl Moore | Chiropractor | 256 Roskovensky Rd, Latrobe, PA 15650-5489 | 2006-11-07 |
1376522979 | Gary N Moore | Dentist | 2620 Tenderfoot Hill St Ste 210, Colorado Springs, CO 80906 | 2006-01-11 |
1114560265 | Gary C Moore | Case Manager/Care Coordinator | 1501 Madison Rd, Walnut Hills, OH 45206-1706 | 2019-10-22 |
1417407917 | Gary Moore | Counselor | 770 Woodlane Rd, Westampton, NJ 08060-3804 | 2016-10-07 |
1407151756 | Gary Moore | Physical Therapy Assistant | 200 Sw 14th St, Newton, KS 67114-4701 | 2011-01-18 |
1437392768 | Gary L Moore | Counselor | 3260 N Hayden Rd, Suite 112, Scottsdale, AZ 85251-6649 | 2009-04-16 |
1437305042 | Gary John Moore | Registered Nurse | 1519 Nye Rd, Suite 200, Lyons, NY 14489-9133 | 2008-08-14 |
1093924623 | Gary Moore | Case Manager/Care Coordinator | 673 San Jose Ave, San Francisco, CA 94110-4914 | 2007-05-21 |
1053533455 | Gary Thomas Moore | Counselor | 212 I St, Davis, CA 95616-4213 | 2007-05-03 |
Street Address |
350 S BROADWAY AVE |
City | WICHITA |
State | KS |
Zip Code | 67202-4304 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780631663 | Nancy Ballinger | Registered Nurse | 350 S Broadway Ave, Wichita, KS 67202-4304 | 2006-05-27 |
1174120257 | Paige Gumpenberger | Social Worker | 350 S Broadway Ave, Wichita, KS 67202-4304 | 2020-10-02 |
1780290692 | Kristi Ann Evans | Social Worker | 350 S Broadway Ave, Wichita, KS 67202-4304 | 2020-09-17 |
1568074722 | Raven Guliford | Social Worker | 350 S Broadway Ave, Wichita, KS 67202-4304 | 2020-08-19 |
1114538287 | Tessa Osborn | Social Worker | 350 S Broadway Ave, Wichita, KS 67202-4304 | 2020-08-12 |
1457962656 | Kellie Michaud | Social Worker | 350 S Broadway Ave, Wichita, KS 67202-4304 | 2020-08-11 |
1255940490 | Carla Eash | Social Worker | 350 S Broadway Ave, Wichita, KS 67202-4304 | 2020-07-23 |
1124637376 | Taylor Alexander | Counselor | 350 S Broadway Ave, Wichita, KS 67202-4304 | 2020-07-23 |
1497373708 | Anneke Blignaut | Social Worker | 350 S Broadway Ave, Wichita, KS 67202-4304 | 2020-07-13 |
1649898677 | Corine E Falletti | Social Worker | 350 S Broadway Ave, Wichita, KS 67202-4304 | 2020-07-07 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245845338 | Raneisha Hunter | Marriage & Family Therapist | 622 E. Douglasave, Wichita, KS 67202 | 2020-09-15 |
1104397124 | Bridges Healthcare Inc | Clinic/Center | 313 S. Market Street, Wichita, KS 67202 | 2018-12-17 |
1043712912 | Creative Bliss Therapy | Counselor | 115 Waterman Street, Wichita, KS 67202 | 2018-03-06 |
1720596240 | Sunheart Holistic, LLC | Social Worker | 200 N Broadway Ave Ste 535, Wichita, KS 67202 | 2018-01-18 |
1912423823 | Jenni Harshbarger, Phd, P.a. | Clinic/Center | 801 E. Douglas, Regus Suites, 2nd Floor, Wichita, KS 67202 | 2017-08-22 |
1336695287 | The Young Men's Christian Association of Wichita, Kansas | Health Educator | 402 N Market St, Wichita, KS 67202 | 2016-08-31 |
1699103739 | Nadine Reimer Penner | Social Worker | 313 S Market Street, Wichita, KS 67202 | 2013-10-29 |
1386992691 | Andrea Lynn Kasper-doggett | Social Worker | 100 S Market St Ste 2a, Wichita, KS 67202 | 2012-08-16 |
1679883318 | Carol Ann Knott | Registered Nurse | 909 N. Emporia, Wichita, KS 67202 | 2010-10-15 |
1851539431 | Peter Anthony Conrardy | Anesthesiology | 224 E. Douglas Ave., Suite 400 C/o Anesthesia Consulting Services, Wichita, KS 67202 | 2009-02-04 |
Find all providers in zip 67202 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891393179 | Mendy Logan | Counselor | 1999 N Amidon Ave Ste 373, Wichita, KS 67203-2154 | 2020-10-09 |
1043850803 | Evelyn Wright | Counselor | 1034 S Burrus St, Wichita, KS 67207-3623 | 2020-01-09 |
1356982516 | Dynamic Counseling Services LLC | Counselor | 572 S Oliver St, Wichita, KS 67218-2351 | 2019-09-30 |
1376001677 | Holly Lynn Paine | Counselor | 3446 S Ida St, Wichita, KS 67216-1558 | 2019-03-05 |
1043712912 | Creative Bliss Therapy | Counselor | 115 Waterman Street, Wichita, KS 67202 | 2018-03-06 |
1467960898 | Chelsey Johnson Thornhill | Counselor | 4601 E Douglas Ave Ste 209, Wichita, KS 67218-1031 | 2018-01-19 |
1467986836 | Megan Elizabeth Couey | Counselor | 8623 E 32nd St. N, Suite 100, Wichita, KS 67226 | 2017-04-12 |
1922557511 | Tamell Jason-heitman | Counselor | 1333 N Broadway Ave Ste B, Wichita, KS 67214-2894 | 2016-09-24 |
1033663935 | Janelle Osborn | Counselor | 2205 N Parkridge Ct, Wichita, KS 67205-2004 | 2016-08-08 |
1396147096 | Heather Ann Shelton | Counselor | 1919 N Amidon Ave Ste 108, Wichita, KS 67203 | 2014-09-24 |
Find all providers in WICHITA |
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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.