MICHELLE MOORE (NPI# 1720567340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720567340 |
| Entity Type | Individual |
| Full Name | MICHELLE MOORE |
| Practice Address |
2704 N Main St Rockford IL 61103-3112 |
| Mailing Address |
1021 N Mulford Rd Rockford IL 61107-3877 |
| Practice Telephone | 8159689300 |
| Enumeration Date | 2018-08-14 |
| Last Update Date | 2018-08-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619501020 | Michelle K Moore | Driver | 4179 Westbrook Dr, Cleveland, OH 44144-1234 | 2020-02-24 |
| 1255984043 | Michelle Jean Moore | Nurse Practitioner | 95 Locust Avenue 1st Floor Oncology, Stroock Building, Danbury, CT 06810 | 2019-07-20 |
| 1548726235 | Michelle Len Moore | Prosthetist | 620 Lenox Ave, Suite 4c, New York, NY 10037 | 2019-02-18 |
| 1790255842 | Michelle Moore | In Home Supportive Care | 135 Jenkins St. Suite 105b #265, St.augustine, FL 32086 | 2018-12-03 |
| 1043769268 | Michelle Moore | Nurse Practitioner | 458 N May St, Chicago, IL 60642-5819 | 2016-09-29 |
| 1356747687 | Michelle Laverne Moore | Nurse Practitioner | 1050 Benton St, Santa Clara, CA 95050-4854 | 2014-11-13 |
| 1407251481 | Michelle Lynn Moore | Contractor | 364 Patteson Dr, 290, Morgantown, WV 26505-3202 | 2014-11-03 |
| 1164827754 | Michelle Moore | Counselor | 550 Bilper Ave Apt 6119, Lindenwold, NJ 08021-1866 | 2014-10-26 |
| 1669880423 | Michelle Moore | Counselor | 302 E Hersey St Ste 8, Ashland, OR 97520-1200 | 2014-07-24 |
| 1992112361 | Michelle Lejay Moore | Community Health Worker | 209 E Moore Ave, Terrell, TX 75160-3207 | 2014-07-17 |
| Street Address |
2704 N MAIN ST |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61103-3112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689209736 | Kristie L Miller | Counselor | 2704 N Main St, Rockford, IL 61103-3112 | 2020-03-10 |
| 1033763446 | Linda Haugen | Counselor | 2704 N Main St, Rockford, IL 61103-3112 | 2019-07-25 |
| 1790240935 | Jamie Motos | Counselor | 2704 N Main St, Rockford, IL 61103-3112 | 2019-02-01 |
| 1780153064 | Kaitlyn Folliard | Social Worker | 2704 N Main St, Rockford, IL 61103-3112 | 2018-11-16 |
| 1871077354 | Brittany Torres | Counselor | 2704 N Main St, Rockford, IL 61103-3112 | 2018-09-20 |
| 1447734256 | Careena Whisper-marie Barker | Counselor | 2704 N Main St, Rockford, IL 61103-3112 | 2018-09-18 |
| 1255814620 | Kevin Smerko | Counselor | 2704 N Main St, Rockford, IL 61103-3112 | 2018-09-12 |
| 1467935791 | Dana Harder | Counselor | 2704 N Main St, Rockford, IL 61103-3112 | 2018-09-12 |
| 1396228631 | Nirandone Thammarath | Counselor | 2704 N Main St, Rockford, IL 61103-3112 | 2018-09-12 |
| 1073095923 | Natalie Hanna | Counselor | 2704 N Main St, Rockford, IL 61103-3112 | 2018-09-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598398497 | The Elitist Group | Home Health Aide | 2929 N Main Street, Rockford, IL 61103 | 2020-02-19 |
| 1972064194 | Mahita Bellamkonda | Student in an Organized Health Care Education/Training Program | 2400 North Rockton Avenue, Rockford, IL 61103 | 2019-03-29 |
| 1558538967 | Willows Health Center | Clinic/Center | 4143 Albright Lane, Rockford, IL 61103 | 2008-05-14 |
| 1497845135 | Humaira Bari | Internal Medicine | 2400 N. Rockton Avenue, Rockford, IL 61103 | 2006-10-13 |
| 1841385242 | Rachel Pawlowski | Occupational Therapist | 3616 N. Main Street, Rockford, IL 61103 | 2006-10-03 |
| 1417068438 | Alicia Anne Huntley | Midwife | 2400 Rockton Ave, Rockford, IL 61103 | 2006-08-31 |
| 1639190200 | Glendon Burress | Pediatrics | 2300 N. Rockton Ave., Rockford Health Physicians, Rockford, IL 61103 | 2006-07-21 |
| 1225065204 | Daniel William Johnson | Dentist | 519 Toner Av, Rockford, IL 61103 | 2006-06-27 |
| 1760472898 | Ronald Peter Oberfoell | Anesthesiology | 2400 North Rockton Ave, Rockford Health Physicians, Rockford, IL 61103 | 2005-10-28 |
| 1841752532 | Dipti Sabharwal | Student in an Organized Health Care Education/Training Program | 2400 N Rockton Avenue, Rockford, IL 61103 | 2019-04-02 |
| Find all providers in zip 61103 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346866563 | Jendaya M Clark | Counselor | 1201 Cypress Ter, Rockford, IL 61102-3375 | 2020-06-23 |
| 1760045744 | Julianna Jones | Counselor | 6653 Weaver Rd Ste 115, Rockford, IL 61114 | 2019-04-16 |
| 1245706662 | Nannatte Lynne Heshelman | Counselor | 973 N Main St Apt 1, Rockford, IL 61103-7031 | 2018-10-23 |
| 1508342866 | Tiffany Williams | Counselor | 2990 N Perryville Rd Ste 2100b, Rockford, IL 61107-6814 | 2018-07-19 |
| 1487145124 | Rashanda Will | Counselor | 1903 Loomis St, Rockford, IL 61102-2665 | 2018-05-29 |
| 1922467034 | Gregory William Georgis | Counselor | 2595 N Mulford Rd, Rockford, IL 61114-5643 | 2016-02-17 |
| 1194104661 | Lutheran Social Services of Illinois | Counselor | 402 Kishwaukee St, Ste 101, Rockford, IL 61104-2041 | 2015-05-29 |
| 1073936068 | Jordan Bont | Counselor | 8 E Bridge St, Suite E1, Rockford, MI 49341-1601 | 2014-01-27 |
| 1730736141 | Al Despertar Counseling and Guidance Services, LLC | Counselor | 7674 Northland Dr Ne, Rockford, MI 49341-8804 | 2019-08-20 |
| 1033763446 | Linda Haugen | Counselor | 2704 N Main St, Rockford, IL 61103-3112 | 2019-07-25 |
| Find all providers in ROCKFORD | ||||
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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.