REBECCA LYNN MOORMAN (NPI# 1073618658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073618658 |
| Entity Type | Individual |
| Full Name | REBECCA LYNN MOORMAN |
| Credential | LPCC |
| Practice Address |
2211 Mayfair Dr Ste 409 Owensboro KY 42301-4570 |
| Mailing Address |
Po Box 23229 Owensboro KY 42304-3229 |
| Practice Telephone | 2704177980 |
| Practice Fax Number | 2704177989 |
| Mailing Telephone | 2706881330 |
| Mailing Fax Number | 2706881338 |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2019-11-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
102124 | KY | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
0591 | KY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 30610026 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 57 Dora Ln, Greenup, KY 411441187 | 6064737333 | 6064737335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053741306 | Rebecca Jean Moorman | Massage Therapist | 2821 Nw Market St Ste E, Seattle, WA 98107-5815 | 2013-11-23 |
| Street Address |
2211 MAYFAIR DR STE 409 |
| City | OWENSBORO |
| State | KY |
| Zip Code | 42301-4570 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467569434 | Marla D Boehman | Counselor | 2211 Mayfair Dr Ste 409, Owensboro, KY 42301-4570 | 2006-08-24 |
| 1497313829 | Lori Yvonne Quinn | Nurse Practitioner | 2211 Mayfair Dr Ste 409, Owensboro, KY 42301-4570 | 2019-05-31 |
| 1114437738 | Tiffany A Yocum | Nurse Practitioner | 2211 Mayfair Dr Ste 409, Owensboro, KY 42301-4570 | 2017-10-10 |
| 1639693633 | Chesley R Jones | Registered Nurse | 2211 Mayfair Dr Ste 409, Owensboro, KY 42301-4570 | 2017-08-01 |
| 1356874200 | Raven R. Price | Psychiatry & Neurology | 2211 Mayfair Dr Ste 409, Owensboro, KY 42301-4570 | 2017-04-07 |
| 1043465552 | Lisa C Z Moore | Social Worker | 2211 Mayfair Dr Ste 409, Owensboro, KY 42301-4570 | 2008-11-25 |
| 1740447754 | Rhine Nahid Hejran | Psychiatry & Neurology | 2211 Mayfair Dr Ste 409, Owensboro, KY 42301 | 2008-05-19 |
| 1568579670 | Juan R Jaramillo | Psychiatry & Neurology | 2211 Mayfair Dr Ste 409, Owensboro, KY 42301 | 2006-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124558002 | To The Max Behavior Therapy, LLC | Behavioral Analyst | 905 Griffith Avenue, Owensboro, KY 42301 | 2017-06-14 |
| 1558747014 | Kendall L Tapp | Counselor | 1925 Frederica St, Owensboro, KY 42301 | 2015-08-07 |
| 1104168210 | Behavior Associates, LLC | Psychologist | 3445 Wathens Xing Ste 104, Owensboro, KY 42301 | 2013-03-27 |
| 1285990259 | Jaime E Ford | Preventive Medicine | 1723 Windsor Ave., Owensboro, KY 42301 | 2012-04-04 |
| 1457637043 | Bliss United Dental Services Dba Owensboro Family Dentistry | Dentist | 4921 Goetz Dr., Owensboro, KY 42301 | 2011-10-26 |
| 1932483138 | Dennis Craig Hodges | Pharmacist | 2318 Frederica Street, Owensboro, KY 42301 | 2011-10-06 |
| 1225317381 | Donna Kay Ewing | Social Worker | 1925 Frederica St Ste 200, Owensboro, KY 42301 | 2011-08-08 |
| 1639489230 | Easycare Inc | Durable Medical Equipment & Medical Supplies | 5010 Back Square Drive, Owensboro, KY 42301 | 2010-10-15 |
| 1962727529 | Amy Martin | Physical Therapy Assistant | 2420 West Thrid Street, Owensboro, KY 42301 | 2010-04-07 |
| 1215163837 | Green River District Health Department | Public Health or Welfare | 5390 Hwy 56, Owensboro, KY 42301 | 2009-06-10 |
| Find all providers in zip 42301 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627484 | Mosaic Counseling Inc | Counselor | 2767 Veach Rd Ste D, Owensboro, KY 42303-6200 | 2020-10-19 |
| 1952927592 | Michaela Henderson | Counselor | 1100 Walnut St # 52, Owensboro, KY 42301-2956 | 2020-06-19 |
| 1265089338 | Dr Keith Lee-integrative Mental Health, LLC | Counselor | 1727 Sweeney St Ste 103, Owensboro, KY 42303-3834 | 2019-08-22 |
| 1891119392 | Jeannie Marie Howard | Counselor | 2233 N Wintergreen Loop, Owensboro, KY 42301-4265 | 2014-02-05 |
| 1578987012 | Barbara W. Estes | Counselor | 201 Phillips Ct, Owensboro, KY 42303-3772 | 2014-02-04 |
| 1497179931 | Terry Janelle | Counselor | 1727 Sweeney St Ste 102, Owensboro, KY 42303-3834 | 2014-02-04 |
| 1821331661 | Sara Sanders | Counselor | 2707 Breckenridge St Ste 4, Owensboro, KY 42303 | 2013-03-29 |
| 1285823971 | Owensboro Behavioral Care Psc | Counselor | 920 Frederica St Ste 407, Owensboro, KY 42301-3079 | 2007-10-17 |
| 1255367215 | Linda M Domerese | Counselor | 2720 Frederica St, Owensboro, KY 42301-5442 | 2006-06-23 |
| 1568926095 | Cassidy Campbell | Counselor | 1925 Frederica St Ste 200, Owensboro, KY 42301-4818 | 2019-01-29 |
| Find all providers in OWENSBORO | ||||
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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.