DR. JUSTIN J MOORE (NPI# 1619171568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619171568 |
| Entity Type | Individual |
| Full Name | DR. JUSTIN J MOORE |
| Credential | PHD, LPC, LMFT |
| Practice Address |
Hu Box # 12262 Searcy AR 72149-0001 |
| Mailing Address |
1314 Rehoboth Dr Searcy AR 72143-8456 |
| Practice Telephone | 5012794347 |
| Mailing Telephone | 5012799054 |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101Y00000X | Counselor | P0608042 | AR | Behavioral Health & Social Service Providers |
| X | 106H00000X | Marriage & Family Therapist | M0608007 | AR | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619323946 | Justin Derrick Moore | Obstetrics & Gynecology | 9500 Euclid Ave # 44195, Cleveland, OH 44195-2648 | 2016-05-05 |
| 1346620119 | Justin R Moore | Counselor | 10 Mayor Thomas J Mcgrath Hwy, Quincy, MA 02169-5312 | 2015-06-05 |
| 1619185006 | Justin Donald Moore | Physical Therapist | 4819 1st St S, Arlington, VA 22204-1315 | 2007-05-18 |
| 1366444267 | Justin L Moore | Specialist | 987 Brookville St, Fairmount City, PA 16224-0046 | 2005-08-11 |
| 1831743699 | Justin Moore | Physical Therapy Assistant | 3470 Landers Rd, North Little Rock, AR 72117 | 2019-07-30 |
| 1346704970 | Justin Moore | Community Health Worker | 4460 S Highland Dr Ste 230, Salt Lake City, UT 84124-3550 | 2019-01-28 |
| 1699279117 | Justin Earl Moore | Student in an Organized Health Care Education/Training Program | 1411 E 31st St, Oakland, CA 94602-1018 | 2018-03-20 |
| 1437689122 | Justin Moore | Marriage & Family Therapist | 3316 Bemiss Rd, Valdosta, GA 31605-7014 | 2017-06-14 |
| 1487005393 | Justin Anthony Moore | Psychologist | 5249 E Terrace Dr, Madison, WI 53718-8339 | 2016-06-22 |
| 1346602406 | Justin Murray Moore | Neurological Surgery | 110 Francis St, Lowry Building, Suite 3b, Boston, MA 02215 | 2016-03-27 |
| Street Address |
HU BOX # 12262 |
| City | SEARCY |
| State | AR |
| Zip Code | 72149-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518423557 | Joshua Hurt | Student in an Organized Health Care Education/Training Program | Hu 10514 915 E Market Ave, Searcy, AR 72149-0001 | 2019-02-14 |
| 1578029666 | Michael Ford Tikson | Student in an Organized Health Care Education/Training Program | Harding University Physician Assistant Program, Searcy, AR 72149-0001 | 2019-02-14 |
| 1649881970 | Melanie Pasque | Student in an Organized Health Care Education/Training Program | Harding University Physician Assistant Program, Searcy, AR 72149-0001 | 2020-08-11 |
| 1053847004 | Virgil R Lambeth | Specialist/Technologist | 915 E Market Ave, Searcy, AR 72149-0001 | 2017-05-11 |
| 1376744797 | Amy Julianne Baker | Speech-Language Pathologist | 915 E Market Ave, Searcy, AR 72149-0001 | 2007-05-31 |
| 1275802308 | Timothy E Howard | Pharmacist | 915 E Market Ave, Box 12230, Searcy, AR 72149-2230 | 2011-12-19 |
| 1427386101 | Julie Ann Hixson-wallace | Pharmacist | 915 E Market Ave, Box 12230, Searcy, AR 72149-2230 | 2009-11-18 |
| 1487845467 | Michael Alan Murphy | Family Medicine | 915 E Market Ave, Hu 12231, Searcy, AR 72149-2231 | 2007-08-06 |
| 1508499187 | Caylee Schannuth | Specialist/Technologist | 915 E Market Ave, Searcy, AR 72149-2841 | 2020-02-21 |
| 1043797954 | Tracy Mare | Student in an Organized Health Care Education/Training Program | Harding University Pa Program 915 E Market Ave, Searcy, AR 72149-4792 | 2018-07-24 |
| Find all providers in zip 72149 | ||||
| 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 |
|---|---|---|---|---|
| 1124483102 | Amanda Blair | Counselor | 202 N Pear St, Searcy, AR 72143-5273 | 2015-12-17 |
| 1366773913 | Jessica Scott | Counselor | 106 S Spring St, Searcy, AR 72143-7717 | 2010-01-21 |
| 1639244395 | Kerry D Ingram Ix | Counselor | 120 W Race Ave Ste 2, Searcy, AR 72143-4237 | 2006-11-21 |
| 1932281938 | Families, Inc. of Arkansas | Counselor | 1507 E Race Ave, Searcy, AR 72143-4661 | 2006-10-19 |
| 1215571856 | Kaitlyn Lanae Carr | Counselor | 1507 E Race Ave, Searcy, AR 72143-4661 | 2019-11-06 |
| 1093246977 | Laura Ladd | Counselor | 111 W Booth Rd, Searcy, AR 72143-8829 | 2017-03-23 |
| 1437698461 | Cori Danielle Alexander | Counselor | 1507 E. Race St., Searcy, AR 72143-4661 | 2017-02-23 |
| 1912459926 | Tony Eugene English | Counselor | 1507 E. Race St., Searcy, AR 72143-4661 | 2016-10-26 |
| 1780035675 | Stephen Mark Albers | Counselor | 1507 E. Race St., Searcy, AR 72143-4661 | 2016-06-22 |
| 1477914901 | Blair Psychological Services, Inc. | Counselor | 202 N Pear St, Suite A, Searcy, AR 72143-5273 | 2016-03-10 |
| Find all providers in SEARCY | ||||
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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.