DIANA MOORE (NPI# 1245370360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245370360 |
| Entity Type | Individual |
| Full Name | DIANA MOORE |
| Credential | LMFT, LMHC |
| Practice Address |
2712 S Calhoun St Fort Wayne IN 46807-1402 |
| Practice Telephone | 2607444326 |
| Practice Fax Number | 2607440188 |
| Mailing Telephone | 2607444326 |
| Mailing Fax Number | 2607440188 |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YM0800X |
Counselor Specialization: Mental Health |
39000338A | IN | Behavioral Health & Social Service Providers |
| X | 106H00000X | Marriage & Family Therapist | 35001380A | IN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396342218 | Diana E Moore | Nurse Practitioner | 1800 Ridgemar Dr, Cleburne, TX 76031-1353 | 2020-10-04 |
| 1043851769 | Diana Moore | Pharmacist | 6010 Amarillo Blvd W (119), Amarillo, TX 79106 | 2019-10-03 |
| 1902203847 | Diana Moore | Psychologist | 1323 Bia Rd. 20, Fort Thomspson, SD 57339 | 2014-11-20 |
| 1093768806 | Diana Mckenzie Moore | Optometrist | 400 Bryant Ave, Bryant, AR 72022-3813 | 2006-05-19 |
| 1013496306 | Diana Lou Moore | Technician | 7521 Brayton Dr, Anchorage, AK 99507-2667 | 2018-08-08 |
| 1740703735 | Diana Moore | Occupational Therapist | 342 Birnie Ave, Springfield, MA 01107-1104 | 2017-07-20 |
| 1073053294 | Diana Moore | Social Worker | 11120 S Crown Way, Suite 1, Wellington, FL 33414-8718 | 2017-03-07 |
| 1710330097 | Diana T Moore | Counselor | G3500 Flushing Rd Ste 250, Flint, MI 48504-4238 | 2016-07-21 |
| 1487856738 | Diana Moore | Pharmacist | 2250 Hickory Rd, Ste 240, Plymouth Meeting, PA 19462-1047 | 2007-05-31 |
| 1104985233 | Diana R Moore | Counselor | 2020 Brown St, Anderson, IN 46016-4218 | 2006-12-06 |
| Street Address |
2712 S CALHOUN ST |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46807-1402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609868504 | Therese C Mihlbauer | Psychologist | 2712 S Calhoun St, Fort Wayne, IN 46807-1402 | 2005-08-17 |
| 1134731425 | Paige L Zehr | Counselor | 2712 S Calhoun St, Fort Wayne, IN 46807-1402 | 2020-08-19 |
| 1013481027 | Tracy B. Hershberger | Counselor | 2712 S Calhoun St, Fort Wayne, IN 46807-1402 | 2019-01-14 |
| 1871061887 | Ruth G. Davis | Social Worker | 2712 S Calhoun St, Fort Wayne, IN 46807-1402 | 2018-11-07 |
| 1487108254 | Kim Rozier | Counselor | 2712 S Calhoun St, Fort Wayne, IN 46807-1402 | 2016-08-10 |
| 1144664574 | Vanessa Jones | Counselor | 2712 S Calhoun St, Fort Wayne, IN 46807-1402 | 2013-04-29 |
| 1619216389 | Elizabeth Porter | Counselor | 2712 S Calhoun St, Fort Wayne, IN 46807-1402 | 2013-01-31 |
| 1770758591 | Melissa K Sezginer | Counselor | 2712 S Calhoun St, Fort Wayne, IN 46807-1402 | 2008-04-23 |
| 1902945819 | Ruth Bracht | Counselor | 2712 S Calhoun St, Fort Wayne, IN 46807-1402 | 2007-02-06 |
| 1053450940 | Kristine Haworth Connerly | Social Worker | 2712 S Calhoun St, Fort Wayne, IN 46807-1402 | 2007-02-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982234191 | Erin Hall | Case Manager/Care Coordinator | 5800 Faifield, Fort Wayne, IN 46807 | 2020-01-16 |
| 1912208745 | Lezly A Scott | Counselor | 2417 Fairfield Ave., Attn: Lezly Scott, Fort Wayne, IN 46807 | 2010-11-10 |
| 1851749147 | Eric Shoemaker | Family Medicine | 1007 W Rudisill Blvd, Fort Wayne, IN 46807 | 2016-05-27 |
| 1821464603 | Emily Nicole Ackerman | Physical Therapist | 5800 Fairfield Ave, Ste 150, Fort Wayne, IN 46807 | 2015-08-17 |
| 1477639698 | John P Crowley | Social Worker | 2805 Fairfield Ave, Fort Wayne, IN 46807 | 2006-10-31 |
| 1770131948 | Donzhae Lee | Student in an Organized Health Care Education/Training Program | 2510 Thompson Ave, Fort Wayne, IN 46807-1051 | 2019-08-30 |
| 1407919236 | The Arc of Northeast Indiana Inc. | Intermediate Care Facility, Mentally Retarded | 2522 Thompson Ave, Fort Wayne, IN 46807-1051 | 2006-12-19 |
| 1770725244 | Clinical Services, LLC | Clinic/Center | 2315 Broadway, Fort Wayne, IN 46807-1103 | 2009-03-30 |
| 1831252592 | Rosie T Milner | Nurse Practitioner | 2315 Broadway, Fort Wayne, IN 46807-1103 | 2006-12-17 |
| 1558379453 | James Curtis Potts | Dentist | 2703 Broadway, James C Potts Dds, Fort Wayne, IN 46807-1111 | 2006-08-04 |
| Find all providers in zip 46807 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548881899 | Emily H Cook | Counselor | 2130 Pemberton Dr, Fort Wayne, IN 46805-4628 | 2020-04-28 |
| 1871113274 | At Your Pace Counseling, LLC | Counselor | 6717 Sky Blue Dr, Fort Wayne, IN 46804-4648 | 2020-04-26 |
| 1962049809 | Lynne Beardsley | Counselor | 4630 W Jefferson Blvd Ste 11, Fort Wayne, IN 46804-6856 | 2019-12-10 |
| 1578108767 | Wholistic Wellness Counseling and Consulting LLC | Counselor | 1129 Rivermet Ave, Fort Wayne, IN 46805-4232 | 2019-11-11 |
| 1922654722 | Nicole Conrad | Counselor | 908 Manck Dr, Fort Wayne, IN 46814-8995 | 2019-08-16 |
| 1336794148 | Healing Through Art | Counselor | 3521 Lake Ave # B1, Fort Wayne, IN 46805-5536 | 2019-08-08 |
| 1013578749 | A.w. Holdings, LLC | Counselor | 3900 Hursh Rd, Fort Wayne, IN 46845-9677 | 2019-06-24 |
| 1811450646 | Living Waters Peace Center | Counselor | 3262 Mallard Cove Ln Ste B, Fort Wayne, IN 46804-2883 | 2019-04-09 |
| 1447718325 | Victoria Lynn Prokop | Counselor | 4656 W Jefferson Blvd Ste 210, Fort Wayne, IN 46804-6884 | 2019-03-09 |
| 1811467632 | Believe Counseling and Consulting | Counselor | 2200 Lake Ave Ste 140, Fort Wayne, IN 46805-5351 | 2018-12-05 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46807 |
Please comment or provide details below to improve the information on DIANA MOORE.
| 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.