CHARLOTTE J MOORE (NPI# 1568737252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568737252 |
| Entity Type | Individual |
| Full Name | CHARLOTTE J MOORE |
| Credential | LCPC, CADC |
| Practice Address |
5537 N Broadway St Chicago IL 60640-1405 |
| Practice Telephone | 7739899400 |
| Practice Fax Number | 7739899494 |
| Mailing Telephone | 7739899400 |
| Mailing Fax Number | 7739899494 |
| Enumeration Date | 2012-03-14 |
| Last Update Date | 2012-03-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
17678 | IL | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
180.005476 | IL | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
180.005476 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376758920 | Charlotte Marie Moore | Audiologist | 2339 Irving St, Suite 200, San Francisco, CA 94122-1620 | 2007-05-14 |
| 1275512360 | Charlotte A Moore | Family Medicine | 1405 Kiln Creek Parkway, Ste K, Newport News, VA 23602 | 2006-01-17 |
| 1598158693 | Charlotte Moore | Nurse Practitioner | 13655 Riverport Dr, Maryland Hts, MO 63043-4812 | 2015-03-12 |
| 1194064659 | Charlotte Moore | Registered Nurse | 1601 Kirkwood Hwy, Wilmington, DE 19805-4917 | 2013-02-04 |
| 1073821963 | Charlotte A Moore | Counselor | 104 Crescent Dr, Lebanon, MO 65536-3301 | 2010-09-14 |
| 1205016748 | Charlotte A Moore | Developmental Therapist | 126 Phoenix Ave, Lowell, MA 01852-4931 | 2007-11-13 |
| 1457542524 | Charlotte Catherine Moore | Speech-Language Pathologist | 4825 E Roosevelt St, Phoenix, AZ 85008-5917 | 2007-08-05 |
| 1255548061 | Charlotte Ann Moore | Physical Therapy Assistant | 206 Maryland Ave, Mccomb, MS 39648-3926 | 2007-05-17 |
| 1336278670 | Charlotte Moore | Marriage & Family Therapist | 23 Masonic Ave, San Francisco, CA 94118-3417 | 2007-03-04 |
| 1740343201 | Charlotte D Moore | Counselor | 250 Dewey Ave, Spartanburg, SC 29303-3009 | 2006-12-18 |
| Street Address |
5537 N BROADWAY ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60640-1405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952480287 | Access Community Health Network | Clinic/Center | 5537 N Broadway St, Chicago, IL 60640-1405 | 2006-11-06 |
| 1568007433 | Christina Joly | Counselor | 5537 N Broadway St, Chicago, IL 60640-1405 | 2019-11-14 |
| 1558878439 | Sara Wall | Nurse Practitioner | 5537 N Broadway St, Chicago, IL 60640-1405 | 2018-01-02 |
| 1356876387 | Howard Brown Health Center | Clinic/Center | 5537 N Broadway St, Ste 101, Chicago, IL 60640-1405 | 2017-04-27 |
| 1831464510 | Julie A Supple | Social Worker | 5537 N Broadway St, Chicago, IL 60640-1405 | 2012-03-14 |
| 1699040378 | Paul K Wiemerslage | Social Worker | 5537 N Broadway St, Chicago, IL 60640-1405 | 2012-03-14 |
| 1750656435 | Thomas F Holler | Counselor | 5537 N Broadway St, Chicago, IL 60640-1405 | 2012-03-14 |
| 1538434212 | Dayna L Flores | Counselor | 5537 N Broadway St, Chicago, IL 60640-1405 | 2012-03-14 |
| 1174896914 | Tpa Network Incorporated | Counselor | 5537 N Broadway St, Chicago, IL 60640-1405 | 2012-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336754233 | Rci (wrs), LLC. | Clinic/Center | 5221-23 North Broadway, Chicago, IL 60640 | 2020-09-09 |
| 1548871916 | Borici Counseling LLC | Counselor | 4731 N Paulina St, Chicago, IL 60640 | 2020-08-11 |
| 1306319173 | Gerardo Garcia | Physician Assistant | Medical Staff Office, Weiss Memorial Hospital, 4646 N Marine Drive, Chicago, IL 60640 | 2019-01-04 |
| 1386121283 | Aea Optical Ventures, LLC | Clinic/Center | 4814 N Clark St, Chicago, IL 60640 | 2018-07-24 |
| 1023503885 | Lauren Vassiliades | Internal Medicine | Weiss Memorial Hospital, Medical Education Dpt., 4646 N. Marine Drive, C Elevators, 7th Flr. # 7100, Chicago, IL 60640 | 2018-06-25 |
| 1477061620 | Yesenia Vargas | Nurse Practitioner | 1025 W Sunnyside, Chicago, IL 60640 | 2018-01-22 |
| 1932622206 | Jasleen Kaur Brar | Internal Medicine | 4646 N. Marine Dr., Chicago, IL 60640 | 2017-07-19 |
| 1750802849 | Umer Mukhtar | Internal Medicine | 4646 N. Marine Dr. Med Ed Dept. C Elevators., Weiss Memorial Hospital. 7 Floor. #7100, Chicago, IL 60640 | 2017-06-29 |
| 1184144081 | Ellie Navidson | Registered Nurse | 1015 W Lawrence, 2nd Floor, Chicago, IL 60640 | 2017-06-21 |
| 1962932558 | Jennifer Stridh | Marriage & Family Therapist | 5125 N. Winthrop Ave, 1f, Chicago, IL 60640 | 2017-06-15 |
| Find all providers in zip 60640 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477579 | Shantrell Patrice Sutton | Counselor | 5042 W Erie St, Chicago, IL 60644-1604 | 2020-11-05 |
| 1073114591 | Alternative Schools Network | Counselor | 1807 W Sunnyside Ave, Chicago, IL 60640-5898 | 2020-11-02 |
| 1992306518 | Gravity and Grace Psychotherapy, Pllc | Counselor | 1305 S Michigan Ave Apt 602, Chicago, IL 60605-3398 | 2020-11-02 |
| 1811597263 | April Wilburne | Counselor | 804 E 54th St Apt 3, Chicago, IL 60615-4972 | 2020-10-27 |
| 1043810393 | Pamela Kranyak | Counselor | 30 N Michigan Ave Ste 925, Chicago, IL 60602-3463 | 2020-10-27 |
| 1003413378 | Erika Aguirre | Counselor | 5040 S Keating Ave., Chicago, IL 60632-4919 | 2020-10-08 |
| 1497361661 | Michael V Biederman | Counselor | 4254 N Mozart St Apt 2s, Chicago, IL 60618-1784 | 2020-09-22 |
| 1013523984 | Antionette Fisher | Counselor | 5703 S Peoria St, Chicago, IL 60621-2262 | 2020-09-16 |
| 1114532561 | Nefesh Counseling, LLC | Counselor | 3320 W Foster Ave # 124, Chicago, IL 60625-4813 | 2020-09-12 |
| 1114531043 | Katherine E Evans | Counselor | 1528 W Jonquil Ter Unit 2c, Chicago, IL 60626-5932 | 2020-09-08 |
| 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.