HOLLY MARIE MOORE (NPI# 1568944478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1568944478 |
Entity Type | Individual |
Full Name | HOLLY MARIE MOORE |
Other Name | HOLLY MARIE HOAGLAND |
Credential | ASW |
Practice Address |
720 Wood St Eureka CA 95501-4413 |
Mailing Address |
1025 Cousins St Apt D Eureka CA 95501-5623 |
Practice Telephone | 7072682990 |
Mailing Telephone | 9166133321 |
Enumeration Date | 2018-09-06 |
Last Update Date | 2019-10-29 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101Y00000X | Counselor | 85423 | CA | Behavioral Health & Social Service Providers |
N | 106H00000X | Marriage & Family Therapist | 85423 | CA | Behavioral Health & Social Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
290 E Gobbi St, Ukiah, CA 954825559 | 7074633300 | 7074633318 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902363906 | Holly Moore | Psychologist | 281 Pennsylvania Ave, Massapequa Park, NY 11762-2846 | 2019-02-26 |
1801325477 | Holly Elizabeth Moore | Counselor | 2000 W Briggsmore Ave Ste 1, Modesto, CA 95350-3839 | 2017-06-07 |
1063704369 | Holly E Moore | Counselor | 31 Morrow St, Mansfield, MA 02048-1322 | 2011-05-05 |
1255648390 | Holly Suzanne Moore | Skilled Nursing Facility | 202 West Davenport Street, Crossville, IL 62827 | 2010-09-10 |
1992994479 | Holly D Moore | Counselor | 212 Cherokee Rd, Thomaston, GA 30286-3402 | 2007-10-19 |
1659982411 | Holly Marie Moore | Nurse Practitioner | 2 Saint Vincent Cir, Little Rock, AR 72205-5423 | 2020-08-13 |
1578120986 | Holly Reith Moore | Licensed Practical Nurse | 35 12th St Se, Paris, TX 75460-6006 | 2019-05-21 |
1598277899 | Holly Truong Moore | Nurse Practitioner | 300 Pasteur Dr, Palo Alto, CA 94304-2203 | 2017-10-27 |
1215333679 | Holly Lynn Moore | Social Worker | 9724 Kingston Pike, Suite 405, Knoxville, TN 37922-3347 | 2014-11-13 |
1417367897 | Holly Kebodeaux Moore | Speech-Language Pathologist | 211 N 3rd St, Suite 1, Monroe, LA 71201-6731 | 2014-05-06 |
Street Address |
720 WOOD ST |
City | EUREKA |
State | CA |
Zip Code | 95501-4413 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780646521 | Janese Charpentier | Nurse Practitioner | 720 Wood St, Eureka, CA 95501-4413 | 2006-04-05 |
1215537998 | Angela Dawn Tierno Blackthorne | Counselor | 720 Wood St, Eureka, CA 95501-4413 | 2020-10-30 |
1164029534 | Laura Tansley Conger | Registered Nurse | 720 Wood St, Eureka, CA 95501-4413 | 2020-10-07 |
1679170120 | Robert William Williams | Community Health Worker | 720 Wood St, Eureka, CA 95501-4413 | 2020-10-07 |
1144827049 | James Rager Anderson | Registered Nurse | 720 Wood St, Eureka, CA 95501-4413 | 2020-10-04 |
1710593173 | Jody Swan | Student in an Organized Health Care Education/Training Program | 720 Wood St, Eureka, CA 95501-4413 | 2020-09-21 |
1669088340 | Eric Hall | Community Health Worker | 720 Wood St, Eureka, CA 95501-4413 | 2020-09-18 |
1073127403 | Christiane Desir | Registered Nurse | 720 Wood St, Eureka, CA 95501-4413 | 2020-09-02 |
1093325508 | Edmund Sanez Lao | Registered Nurse | 720 Wood St, Eureka, CA 95501-4413 | 2020-08-09 |
1730799180 | Robert Christopher Amerman | Counselor | 720 Wood St, Eureka, CA 95501-4413 | 2020-07-31 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538795919 | Eric Meyer Goldsmith | Physical Therapist | 2306 Dean Street, Eureka, CA 95501 | 2020-03-18 |
1609406404 | Humboldt County Behavioral Health | Community/Behavioral Health | 638 W Clark St., Bldg. E, Eureka, CA 95501 | 2020-01-21 |
1740831767 | Jacqueline Renee Coghill | Nurse Practitioner | Waterfront Recovery Services, 2413 2nd St, Eureka, CA 95501 | 2019-09-20 |
1982177275 | Jenny Bugnacki | Case Manager/Care Coordinator | 721 Wood St, Eureka, CA 95501 | 2019-01-09 |
1073023107 | Humboldt Recovery Center Inc. | Substance Abuse Rehabilitation Facility | 1303 11th St, Eureka, CA 95501 | 2017-10-03 |
1730698283 | Gabriel Holtski | Naturopath | 1632 Broadway, Suite #252, Eureka, CA 95501 | 2017-09-27 |
1164951851 | Redwood Community Services, Inc. | Foster Care Agency | 2426 6th St, Eureka, CA 95501 | 2017-06-07 |
1033651922 | Narum Clinical Services | Social Worker | 930 3rd St, Suite 201, Eureka, CA 95501 | 2016-11-09 |
1750839510 | Sierra Marie Evers-hellmich | Physical Medicine & Rehabilitation | 2103 Myrtle Avenue, Eureka, CA 95501 | 2016-09-21 |
1558720623 | Jennifer Vu | Behavioral Analyst | 730 7th St Ste A, Eureka, CA 95501 | 2016-02-18 |
Find all providers in zip 95501 |
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 |
---|---|---|---|---|
1083196620 | Katelyn Molly Bawcom | Counselor | 929 Koster St, Eureka, CA 95501-0106 | 2018-08-30 |
1750867644 | Janice Jennifer Yeater | Counselor | 2308 Bayview Ln, Eureka, CA 95503-7301 | 2018-07-14 |
1619371325 | Lindsey Flores | Counselor | 270 Wood St, Eureka, CA 95501-5559 | 2014-10-09 |
1538439963 | Kaia Michelle Kordic | Counselor | 537 G St Ste 200, Eureka, CA 95501 | 2012-01-02 |
1659651370 | Ian Douglas Mackelvie | Counselor | 1302 11th St, Eureka, CA 95501-2029 | 2011-08-25 |
1366751166 | Karly Quinn Mertz | Counselor | 2257 Myrtle Ave, Eureka, CA 95501-3486 | 2010-09-28 |
1992026876 | Marie Isabel Fazzone | Counselor | 310 3rd St Ste C, Eureka, CA 95501-0587 | 2010-06-15 |
1467606368 | Kristin Leigh Perkins | Counselor | 434 7th St Ste 212, Eureka, CA 95501-1803 | 2008-11-05 |
1528181070 | Mario R Jiminez | Counselor | 507 F St, Eureka, CA 95501-1009 | 2007-04-09 |
1396749230 | Roxanne Halczak | Counselor | 1711 3rd St, Eureka, CA 95501-0714 | 2005-06-09 |
Find all providers in EUREKA |
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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.