VIVIAN MARIE MOORE (NPI# 1518125590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518125590 |
| Entity Type | Individual |
| Full Name | VIVIAN MARIE MOORE |
| Credential | LCPC |
| Practice Address |
132 E 79th St Chicago IL 60619-2302 |
| Mailing Address |
Po Box 5354 Lansing IL 60438-5354 |
| Practice Telephone | 7734870515 |
| Mailing Telephone | 3127148372 |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2008-05-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
180.006905 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407217128 | Vivian Moore | Registered Nurse | 1468 Morgan Ave, Muskegon, MI 49442-1383 | 2016-03-08 |
| 1497367932 | Vivian Moore | Registered Nurse | 9846 Hwy 31 E, Tyler, TX 75705-2329 | 2020-08-17 |
| 1437397684 | Vivian S Moore | Nurse Practitioner | 1300 Miccosukee Rd, Hospitalist Group, Tallahassee, FL 32308-5054 | 2009-01-27 |
| 1629170139 | Vivian Barbara Moore | Counselor | 20600 Eureka Rd, Suite 819, Taylor, MI 48180-5343 | 2006-09-04 |
| Street Address |
132 E 79TH ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60619-2302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093728867 | Gilead Behavioral Health Services Inc | Psychologist | 132 E 79th St, Chicago, IL 60619-2302 | 2006-08-14 |
| 1124301932 | Leatrice D Allen | Counselor | 132 E 79th St, Chicago, IL 60619-2302 | 2011-09-28 |
| 1144510934 | Cassandra L Mckay-jackson | Social Worker | 132 E 79th St, Chicago, IL 60619-2302 | 2011-04-13 |
| 1427388115 | Kelly Nolen | Social Worker | 132 E 79th St, Chicago, IL 60619-2302 | 2010-01-03 |
| 1891930558 | Felicia Houston | Counselor | 132 E 79th St, Chicago, IL 60619-2302 | 2008-12-10 |
| 1033380787 | Cha-loe Davis | Social Worker | 132 E 79th St, Chicago, IL 60619-2302 | 2008-03-20 |
| 1851513584 | Penny Laura Caldwell | Social Worker | 132 E 79th St, Chicago, IL 60619-2302 | 2007-05-03 |
| 1144361775 | Shanquinnell Bullock | Counselor | 132 E 79th St, Chicago, IL 60619-2302 | 2007-02-08 |
| 1518079599 | Julie Mclean | Social Worker | 132 E 79th St, Chicago, IL 60619-2302 | 2006-08-31 |
| 1215940069 | Karen Yvette Douglass | Psychologist | 132 E 79th St, Chicago, IL 60619-2302 | 2006-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457985061 | Tonia Dorsey | Durable Medical Equipment & Medical Supplies | 951 E 80th Street, Apt 1, Chicago, IL 60619 | 2020-02-24 |
| 1821635509 | Lisa Strader | Technician | 8605 S. Dorchester, Chicago, IL 60619 | 2019-12-02 |
| 1821647579 | Deborah Joves | Technician | 8258 S. Woodlawn Ave, Chicago, IL 60619 | 2019-09-05 |
| 1194372458 | Cognitive Focus Centers, Inc. | Clinic/Center | 901 E 95th St, Chicago, IL 60619 | 2019-08-21 |
| 1588136360 | Zantraquilla Z Madkins | Transportation Broker | 7829 South Wabash, Chicago, IL 60619 | 2018-12-18 |
| 1619447497 | Bria Stanciel | Case Manager/Care Coordinator | 8419 S Cottage Grove, Chicago, IL 60619 | 2018-12-05 |
| 1184153520 | Jordane Kelley | Nurse's Aide | 7339 S Wabash Ave, Chicago, IL 60619 | 2017-06-08 |
| 1205362977 | Kristen Suing | Psychologist | 1111 E 87th St Ste 300, Chicago, IL 60619 | 2017-05-02 |
| 1720525280 | Senior Healthcare Services Inc | Physical Therapist | 9133 South Stoney Island, Chicago, IL 60619 | 2017-01-23 |
| 1932652567 | Md Orthotic & Prosthetic Laboratory, Inc. | Prosthetic/Orthotic Supplier | 1514 E 87th St Lowr Level, Chicago, IL 60619 | 2016-08-01 |
| Find all providers in zip 60619 | ||||
| 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.