MS. SHASHONNA LANITA MOORE (NPI# 1629468780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629468780 |
| Entity Type | Individual |
| Full Name | MS. SHASHONNA LANITA MOORE |
| Credential | LPCA |
| Practice Address |
405 Nc 65 Reidsville NC 27320 |
| Mailing Address |
284 Executive Park Dr Suite 100 Concord NC 28025-1831 |
| Practice Telephone | 3363428316 |
| Practice Fax Number | 3363428352 |
| Mailing Telephone | 7049391100 |
| Mailing Fax Number | 7049391173 |
| Enumeration Date | 2015-01-28 |
| Last Update Date | 2015-01-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | A11272 | NC | Behavioral Health & Social Service Providers |
| Street Address |
405 NC 65 |
| City | REIDSVILLE |
| State | NC |
| Zip Code | 27320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487634192 | Mary Elizabeth Froelich | Psychiatry & Neurology | 405 Nc 65, Reidsville, NC 27320 | 2006-01-19 |
| 1831742410 | Elizabeth Danielle Gainey | Counselor | 405 Nc 65, Reidsville, NC 27320-8882 | 2019-07-22 |
| 1306406012 | Tonya Ann Bunch | Social Worker | 405 Nc 65, Reidsville, NC 27320-8882 | 2019-06-14 |
| 1215492624 | Jessica Marie Southard | Counselor | 405 Nc 65, Reidsville, NC 27320-8882 | 2019-02-11 |
| 1770006439 | Tiffany Louise Rice | Social Worker | 405 Nc 65, Reidsville, NC 27320-8882 | 2017-07-24 |
| 1730613050 | Jennifer Robyn Whitehead | Marriage & Family Therapist | 405 Nc 65, Reidsville, NC 27320-8882 | 2017-04-13 |
| 1851771299 | Tashea R Cheeks | Counselor | 405 Nc 65, Reidsville, NC 27230 | 2015-06-01 |
| 1831257054 | Larry Dale Ray | Psychiatry & Neurology | 405 Nc 65, Reidsville, NC 27320 | 2006-12-04 |
| 1841368701 | Robert Edward Middleton | Counselor | 405 Nc 65, Reidsville, NC 27320 | 2006-11-30 |
| 1841207628 | Heather Lynn Simons | Counselor | 405 Nc 65, Reidsville, NC 27375 | 2006-08-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417576620 | Professional Vision Care, Od, Pllc | Optometrist | 1624 Nc #14 Highway, Reidsville, NC 27320 | 2020-04-09 |
| 1538796966 | Dabney Varner Porter | Speech-Language Pathologist | 613 S. Main St., Reidsville, NC 27320 | 2020-03-25 |
| 1053868463 | Marlon Nolen | Social Worker | 425 Nc-65, Reidsville, NC 27320 | 2016-09-01 |
| 1659741346 | Gepernard Tania Polidor | Social Worker | 405 Nc-65, Reidsville, NC 27320 | 2015-10-07 |
| 1548687064 | Angel Allen | Skilled Nursing Facility | 255 Penn Lake Dr, Reidsville, NC 27320 | 2014-03-21 |
| 1801234844 | Remmsco | Substance Abuse Rehabilitation Facility | 106 N. Franklin St, Reidsville, NC 27320 | 2013-06-12 |
| 1861733669 | The Free Clinic of Rockingham County, Inc | Clinic/Center | 315 S. Main Street, Reidsville, NC 27320 | 2013-03-05 |
| 1396094173 | Helen Elizabeth Brooks | Nurse Practitioner | 502 South Scales Street, Reidsville, NC 27320 | 2012-09-07 |
| 1952650327 | Ashlee Place | Assisted Living Facility | 538 Warriner Street, Reidsville, NC 27320 | 2012-08-31 |
| 1558638536 | Tracey Caroline Cook | Pharmacist | 1623 Way, Reidsville, NC 27320 | 2011-11-19 |
| Find all providers in zip 27320 | ||||
| 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 |
|---|---|---|---|---|
| 1295097707 | Anne Witcher | Counselor | 179 Communications Ln, Reidsville, NC 27320-7921 | 2012-06-11 |
| 1326429416 | Courtney Thompson | Counselor | 232 Gilmer St, Reidsville, NC 27320-3860 | 2015-06-15 |
| 1275936320 | Tenisha Nicole Mclean | Counselor | 229 Turner Dr, Reidsville, NC 27320-5736 | 2014-10-03 |
| 1922360833 | Annette Dunlap | Counselor | 179 Communications Ln, Reidsville, NC 27320-7921 | 2012-06-15 |
| 1306108311 | Cheryl Ridley Jenkins | Counselor | 179 Communications Ln, Reidsville, NC 27320-7921 | 2012-06-14 |
| 1962769356 | Jessica Lea Mounier Spence | Counselor | 229 Turner Dr, Reidsville, NC 27320-5736 | 2012-04-23 |
| 1124243209 | Burston's Consulting and Counseling Services, LLC | Counselor | 1117 S Main St, Reidsville, NC 27320-5313 | 2007-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083215347 | Jean Moree | Counselor | 569 Presnell School Rd, Banner Elk, NC 28604-8306 | 2020-11-03 |
| 1639779655 | Warfair Counseling, Consulting, & Supervision, Pllc | Counselor | 301 South Elm Street, Suite 801, Greensboro, NC 27401 | 2020-10-28 |
| 1336749324 | Wanda V Jones | Counselor | 11634 Windy Creek Dr Apt H, Charlotte, NC 28262-1923 | 2020-10-28 |
| 1619576352 | Bianca Faith Monroe | Counselor | 111 Lamon St Ste 100, Fayetteville, NC 28301-4917 | 2020-10-23 |
| 1861091662 | Chiquitta Williams Lesene | Counselor | 407 E Fremont Street, Burgaw, NC 28425 | 2020-10-22 |
| 1841897667 | Latia Edwards Counseling Services | Counselor | 1224 Kirt Ct, Charlotte, NC 28213-5966 | 2020-10-05 |
| 1760089825 | Christine Lynn Jeffreys | Counselor | 3532 Hamilton Mill Dr, Raleigh, NC 27616-9007 | 2020-10-02 |
| 1164039863 | Kamini Wood | Counselor | 2670 Cedar Hedge Ct, Apex, NC 27523-7136 | 2020-09-26 |
| 1821604463 | Recovery Services of The Carolinas, LLC | Counselor | 10831 Pineville Rd Ste 8, Pineville, NC 28134-8137 | 2020-09-18 |
| 1841805322 | Ashley Evans | Counselor | 358 Hunting Green Dr, Jacksonville, NC 28546-9129 | 2020-09-11 |
| Find all providers with the same taxonomy | ||||
| City | REIDSVILLE |
| Zip Code | 27320 |
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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.