LINDA MOORE (NPI# 1629567052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629567052 |
| Entity Type | Individual |
| Full Name | LINDA MOORE |
| Credential | QMHP |
| Practice Address |
701 Monroe Ave Charleston IL 61920-2036 |
| Mailing Address |
2738 Kimwood Dr Charleston IL 61920-4311 |
| Practice Telephone | 2173456554 |
| Practice Fax Number | 2176554220 |
| Mailing Telephone | 2172767034 |
| Enumeration Date | 2018-05-01 |
| Last Update Date | 2018-05-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740739143 | Linda Lee Moore | Contractor | 3830 Higgins St, Loveland, CO 80538-4960 | 2016-09-26 |
| 1982029146 | Linda Kay Moore | Speech-Language Pathologist | 7229 Raynham Dr, Oakwood Village, OH 44146-5810 | 2014-02-25 |
| 1417242801 | Linda Sue Moore | Registered Nurse | 3286 53rd Ave, Columbus, NE 68601-1516 | 2011-06-14 |
| 1093019796 | Linda Lee Moore | Community Health Worker | 1717 3rd St. N.e., Independence, IA 50644-1717 | 2011-01-10 |
| 1801104310 | Linda Sue Moore | Licensed Practical Nurse | 4322 W Keller Hill Rd, Cuba, NY 14727-9413 | 2010-09-17 |
| 1053433458 | Linda M Moore | Occupational Therapist | 4909 Leone Dr, Indianapolis, IN 46226-2577 | 2007-04-04 |
| 1295862829 | Linda J Moore | Acupuncturist | 9400 River Crossing Blvd., Ste #101, New Port Richey, FL 34655 | 2007-02-28 |
| 1578622064 | Linda Sturtevant Moore | Psychologist | 2838 Devine St, Columbia, SC 29205-2500 | 2006-12-08 |
| 1629182589 | Linda Lee Moore | Psychologist | 6011 Central St, Kansas City, MO 64113-1409 | 2006-08-18 |
| 1740220078 | Linda E. Moore | Nurse Anesthetist, Certified Registered | 4110 Stonebrook Farms Rd, Greensboro, NC 27406-9655 | 2006-06-07 |
| Street Address |
701 MONROE AVE |
| City | CHARLESTON |
| State | IL |
| Zip Code | 61920-2036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316268352 | One Hope United | Foster Care Agency | 701 Monroe Ave, Charleston, IL 61920-2036 | 2010-06-14 |
| 1619597275 | Courtney Ella Dundee | Counselor | 701 Monroe Ave, Charleston, IL 61920-2036 | 2020-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124643879 | Jenna Kay Mortensen | Speech-Language Pathologist | 2086 7th Street, Charleston, IL 61920 | 2020-06-09 |
| 1255954566 | Christina L. White | Nurse Practitioner | 1199 Persimmon Rd, Charleston, IL 61920 | 2020-05-20 |
| 1679066773 | Jennifer Hess | Specialist/Technologist | 2506 Lantz Building, Charleston, IL 61920 | 2018-06-13 |
| 1134647969 | Nichole C Ogilvie | Student in an Organized Health Care Education/Training Program | 917 4th Street Apt 19, Charleston, IL 61920 | 2017-08-31 |
| 1467970319 | Marcus Roach | Physical Therapy Assistant | 912 Oakcrest Dr. Apt D, Charleston, IL 61920 | 2017-08-30 |
| 1114478500 | 5 Guys Rx II LLC | Pharmacy | 1 W Lincoln Ave, Charleston, IL 61920 | 2016-10-20 |
| 1649723206 | Bright Minds Educational Program Inc | Developmental Therapist | 7704 Deerpath Road, Charleston, IL 61920 | 2016-08-01 |
| 1760843379 | Lisa Price | Nurse Practitioner | 2040 Lincoln Ave, Suite 100, Charleston, IL 61920 | 2016-03-09 |
| 1104243385 | Nathan David Schwartzkopf | Specialist/Technologist | 1340 A Street, Charleston, IL 61920 | 2014-03-25 |
| 1558694349 | Emily Schilling | Specialist/Technologist | 2350 Harrison Avenue, Charelston, IL 61920 | 2009-09-10 |
| Find all providers in zip 61920 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912514555 | Melissa-miles Dunn | Counselor | 451 Folly Rd Ste 107, Charleston, SC 29412-2640 | 2020-09-28 |
| 1497379150 | Catherine Fliszar | Counselor | 3245 Glenn Mcconnell Pkwy Unit 801, Charleston, SC 29414-8161 | 2020-05-28 |
| 1003439225 | Lauren Whatley | Counselor | 652 Rutledge Ave Unit A, Charleston, SC 29403-4297 | 2020-05-21 |
| 1891322483 | Katherine Jane Eldean | Counselor | 751 Lake Frances Dr, Charleston, SC 29412-4342 | 2020-03-24 |
| 1114567864 | Amber Mariah Clark | Counselor | 4 Carriage Ln Ste 405, Charleston, SC 29407-6024 | 2020-01-10 |
| 1891291290 | Damon Mark Mckenzie | Counselor | 107 S. Hancock, Charleston, AR 72933 | 2018-04-04 |
| 1770090011 | Mary Jo Selbe | Counselor | 305 20th St Se, Charleston, WV 25304-1003 | 2018-01-09 |
| 1780197665 | Courtney Klacza | Counselor | 2122 Egret Crest Ln, Charleston, SC 29414-6073 | 2017-11-14 |
| 1780136556 | Jennifer L Gregan | Counselor | 718 Bigley Avenue, Charleston, WV 25302 | 2016-10-27 |
| 1588111603 | Amber Alena Gunno | Counselor | 713 Bigley Avenue, Charleston, WV 25362 | 2016-09-07 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 61920 |
Please comment or provide details below to improve the information on LINDA 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.