MS. CARRIE L MOORE (NPI# 1518907229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518907229 |
| Entity Type | Individual |
| Full Name | MS. CARRIE L MOORE |
| Credential | MA, LMSW, CAAC |
| Practice Address |
157 S Kalamazoo Mall 250 Kalamazoo MI 49007-4877 |
| Mailing Address |
1110 Cobb Ave Kalamazoo MI 49007-2450 |
| Practice Telephone | 2693831440 |
| Practice Fax Number | 2693839781 |
| Mailing Telephone | 2693497148 |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2010-04-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
C-02372 | MI | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
6801062534 | MI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | LMSW | 6801062534 | 01 |
| MI | CAAC | C-02372 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609399906 | Carrie Ann Moore | Counselor | 2617 General Pershing Blvd., Oklahoma City, OK 73107 | 2017-07-19 |
| 1700248184 | Carrie Moore | Social Worker | 2076 Nc Hwy 42 West, Suite 220, Clayton, NC 27520 | 2016-03-24 |
| 1649803966 | Carrie Malone Moore | Occupational Therapist | 3105 Independence Dr Ste 105, Birmingham, AL 35209-4111 | 2020-02-14 |
| 1184269003 | Carrie Moore | Registered Nurse | 1060 Gaffney Rd Stop 7400, Fort Wainwright, AK 99703-5007 | 2019-11-14 |
| 1467993717 | Carrie Ann Moore | Student in an Organized Health Care Education/Training Program | 6040 University Town Centre Dr, Morgantown, WV 26501-2421 | 2017-03-19 |
| 1356893804 | Carrie Moore | Counselor | 1990 N Federal Hwy Ste A, Pompano Beach, FL 33062-1032 | 2016-11-01 |
| 1205221009 | Carrie Colleen Buchanan Moore | Student in an Organized Health Care Education/Training Program | 2301 Erwin Rd, Durham, NC 27705-4699 | 2015-03-30 |
| 1164833075 | Carrie Moore | Physical Therapist | 13900 Bennett Rd, North Royalton, OH 44133-3808 | 2014-05-13 |
| 1437369782 | Carrie Leigh Moore | Physical Therapist | 3601 N Macgregor Way, Houston, TX 77004-8004 | 2007-05-23 |
| Street Address |
157 S KALAMAZOO MALL 250 |
| City | KALAMAZOO |
| State | MI |
| Zip Code | 49007-4877 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740673698 | Progressive Reflection for Change, LLC | Community/Behavioral Health | 157 S Kalamazoo Mall, Suite 110, Kalamazoo, MI 49007-4877 | 2015-03-16 |
| 1164677050 | Cynthia Thomas | Social Worker | 157 S Kalamazoo Mall, Ste 250, Kalamazoo, MI 49007-4877 | 2008-11-19 |
| 1154581460 | Marcella Lydia Bacchus | Counselor | 157 S Kalamazoo Mall, Suite 250, Kalamazoo, MI 49007-4877 | 2008-06-10 |
| 1922293919 | Sheryl Leann Gray | Counselor | 157 S Kalamazoo Mall, Suite 250 Mall Plaza, Kalamazoo, MI 49007-4877 | 2007-09-12 |
| 1730370206 | Park Place Counseling & Associate Plc | Social Worker | 157 S Kalamazoo Mall, Suite 250, Kalamazoo, MI 49007-4877 | 2007-08-08 |
| 1730381906 | Jennifer Mills Langeland | Counselor | 157 S Kalamazoo Mall, Mall Plaza Suite 140, Kalamazoo, MI 49007-4877 | 2007-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881248342 | Whitney Kiel | Pharmacist | 601 John Street Suite M-020, Kalamazoo, MI 49007 | 2019-08-01 |
| 1316591571 | Laura Jedele | Physical Therapist | Bronson Healthcare Group, 601 John St, Kalamazoo, MI 49007 | 2019-07-26 |
| 1992209084 | Yvonne Marie Heltzel | Behavior Technician | 1826 N Rose St, Kalamazoo, MI 49007 | 2018-03-22 |
| 1396263943 | Travis Todd Turrell | Physician Assistant | 125 S Kalamazoo Mall Suite 204, Kalamazoo, MI 49007 | 2017-09-05 |
| 1619493186 | Sarah Zuspann | Nurse Practitioner | 601 John Street, Suite 100, Kalamazoo, MI 49007 | 2017-08-16 |
| 1720529779 | Dannison | Psychologist | 604 S Rose St, Kalamazoo, MI 49007 | 2017-03-10 |
| 1265988901 | Calee Dieleman | Social Worker | 610 South Burdick, Kalamazoo, MI 49007 | 2016-09-01 |
| 1508313099 | Arriel Julia Ampey | Social Worker | 414 S. Burdick St., Suite 200, Kalamazoo, MI 49007 | 2016-09-01 |
| 1043662745 | Holloway Marston | Psychologist | 717 W South St, Apt. #6, Kalamazoo, MI 49007 | 2016-07-06 |
| 1205280062 | Bronson At Home | Home Health | 601 John St Ste M-431, Kalamazoo, MI 49007 | 2016-04-19 |
| Find all providers in zip 49007 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154947992 | Anna Liedberg Miron LLC | Counselor | 1010 Short Rd, Kalamazoo, MI 49008-1186 | 2020-06-17 |
| 1023668076 | Melissa Portia Fuller | Counselor | 8270 S 10th St, Kalamazoo, MI 49009-9729 | 2019-09-11 |
| 1255894358 | Deborah Jane Hindman | Counselor | 1915 Waite Ave, Kalamazoo, MI 49008-1760 | 2019-04-08 |
| 1922503796 | Monica Poucher | Counselor | 6963 W Kl Ave Ste B, Kalamazoo, MI 49009-8043 | 2018-03-26 |
| 1619480928 | Melinda M Johnston Pllc | Counselor | 130 Ridgewood St, Kalamazoo, MI 49001-4244 | 2017-11-08 |
| 1104338417 | Michele Renee Figuereo | Counselor | 821 W South St Ste E, Kalamazoo, MI 49007-4664 | 2017-10-26 |
| 1285156182 | Kaley Ford | Counselor | 322 E Stockbridge Ave, Kalamazoo, MI 49001-2873 | 2017-07-12 |
| 1740659333 | Ashley Decou | Counselor | 3809 Ottawa Ave, Kalamazoo, MI 49006-1944 | 2015-09-24 |
| 1396123162 | Lauren Nicole Barry | Counselor | 4110 Firethorne Rdg Apt 302, Kalamazoo, MI 49006-6282 | 2015-05-13 |
| 1891184396 | Anna Liedberg Miron | Counselor | 1460 Prospect Pl, Kalamazoo, MI 49006-3110 | 2015-01-21 |
| Find all providers in KALAMAZOO | ||||
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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.