SAMANTHA DARLENE MOORE (NPI# 1215281407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215281407 |
| Entity Type | Individual |
| Full Name | SAMANTHA DARLENE MOORE |
| Practice Address |
4334 Back St Kingston OK 73439-5350 |
| Practice Telephone | 5805650371 |
| Mailing Telephone | 5805650371 |
| Enumeration Date | 2012-11-09 |
| Last Update Date | 2014-04-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457960825 | Samantha Moore | Social Worker | 6543 Las Vegas Blvd S, Las Vegas, NV 89119-3223 | 2020-07-30 |
| 1255813291 | Samantha Pena Moore | Behavioral Analyst | 3446 Post Road, Warwick, RI 02886 | 2018-09-06 |
| 1972099331 | Samantha Ann Moore | Physical Therapist | 103 N Main St # 201, Greenville, SC 29601-2796 | 2018-07-09 |
| 1467989103 | Samantha Moore | Counselor | 9428 Brookline Ave Ste 2, Baton Rouge, LA 70809-1428 | 2017-05-12 |
| 1821541707 | Samantha Moore | Physical Therapist | 23083 Jensen Ct, Grand Terrace, CA 92313-5579 | 2016-07-27 |
| 1154741106 | Samantha Heuertz Moore | Psychiatry & Neurology | 501 Eastowne Dr Ste 220, Chapel Hill, NC 27514-6224 | 2014-04-17 |
| 1356990667 | Samantha Moore | Behavior Technician | 11935 Mastin St, Overland Park, KS 66213-1629 | 2019-09-09 |
| 1710539309 | Samantha Moore | Speech-Language Pathologist | 5544 Main St Fl 2, Williamsville, NY 14221-5406 | 2019-07-12 |
| 1013405356 | Samantha Tyler Moore | Counselor | 2003 Godwin Ave Ste C, Lumberton, NC 28358-3150 | 2018-04-23 |
| 1922519438 | Samantha Ann Moore | Student in an Organized Health Care Education/Training Program | 1351 Newtown Pike Bldg 1, Lexington, KY 40511-1277 | 2017-10-24 |
| Street Address |
4334 BACK ST |
| City | KINGSTON |
| State | OK |
| Zip Code | 73439-5350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407489859 | Amanda Griffin | Behavior Technician | 9236 Polvadore Drive, Kingston, OK 73439 | 2020-02-13 |
| 1659837102 | Sheriden Cheyenne Franks | Pharmacist | 7 North Main Street, Kingston, OK 73439 | 2019-02-20 |
| 1275061467 | Ayandeh Health LLC | Nurse Practitioner | 7 N Main Street, Kingston, OK 73439 | 2017-06-01 |
| 1720526437 | Tammy Lynn Williams | Nurse Practitioner | 7 N Main, Kingston, OK 73439 | 2017-02-02 |
| 1053774794 | Tressa Antionette Matchen | Nurse Practitioner | 701 East Hwy 70 Alliance Health Medical Group, Kingston, OK 73439 | 2016-03-31 |
| 1932577277 | Laura Kay Gleaves | Counselor | 717 B Hwy E, Kingston, OK 73439 | 2015-09-03 |
| 1346622099 | Alicia Thompson | Community Health Worker | 400 North East Third, Kingston, OK 73439 | 2015-06-18 |
| 1790188639 | Lakeside Family Medicine | Family Medicine | 714 Hwy 70 E, Kingston, OK 73439 | 2014-10-07 |
| 1518373513 | Dana Boldt Green, M.ed., Lpc, Ncgc-2, PC | Community/Behavioral Health | 8800 Birch St, Kingston, OK 73439 | 2014-07-10 |
| 1205131554 | Marie Morrison Bramlett | Counselor | 400 Ne 3rd St, Kingston, OK 73439 | 2011-01-18 |
| Find all providers in zip 73439 | ||||
| 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 |
|---|---|---|---|---|
| 1003425687 | Casey John Kirkland | Counselor | 7 Cheney Rd, Kingston, NH 03848-3402 | 2020-07-29 |
| 1134577307 | Madeline Elizabeth Harley | Counselor | 13 Cooke Ave, Kingston, MA 02364-1835 | 2016-05-29 |
| 1326468760 | Amanda Boehme | Counselor | 717 Highway 70 E, Suite B, Kingston, OK 73439-8253 | 2014-04-24 |
| 1114228061 | Natalie L Foster | Counselor | 413 Highway 70 N, Kingston, OK 73439-8235 | 2010-11-09 |
| 1740484203 | Karen Sue Carr | Counselor | Outpatient Services-kingston; 12998 Village Rd., Strong Family Development:, Kingston, OK 74820 | 2007-06-11 |
| 1013023977 | Judy Shapiro | Counselor | 471 Albany Ave, Kingston, NY 12401-2138 | 2006-08-22 |
| 1255948840 | Evolutionary Holistic Healing | Counselor | 155 Broadway, Kingston, NY 12401-6057 | 2020-09-28 |
| 1134681133 | Samuel Washington | Counselor | 139 Cornell St, Kingston, NY 12401-3633 | 2019-04-01 |
| 1306303987 | Erin Koonz | Counselor | 139 Cornell St, Kingston, NY 12401-3640 | 2019-03-01 |
| 1922564509 | John Frusciante | Counselor | 471 Albany Ave, Kingston, NY 12401-2138 | 2019-02-19 |
| Find all providers in KINGSTON | ||||
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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.