ANN JOLENE MOORE


Address: 4696 W Overland Rd, Suite 118, Boise, ID 83705-2845
Phone: 2088413581

ANN JOLENE MOORE (NPI# 1972789535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1972789535
Entity Type Individual
Full Name ANN JOLENE MOORE
Other Name ANN JOLENE BARRUS
Credential L.C.P.C.
Practice Address 4696 W Overland Rd
Suite 118
Boise
ID 83705-2845
Practice Telephone 2088413581
Practice Fax Number 2089068572
Mailing Telephone 2088413581
Mailing Fax Number 2089068572
Enumeration Date 2008-01-14
Last Update Date 2013-04-02
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
LCPC-3938 ID Behavioral Health & Social Service Providers

Other Providers ANN MOORE

NPI Name Taxonomy Address Enumeration
1568629111 Ann M Moore Physical Therapist 201 North Mayfair Rd, Wauwatosa, WI 53226-4216 2008-05-21
1134398514 Ann Moore Counselor 3201 Hwy 314 Sw, Los Lunas, NM 87031-9764 2008-02-29
1235358391 Ann Therese Moore Social Worker 104 Maple Ave, Red Bank, NJ 07701-1716 2007-04-25
1306962634 Ann Fisher Moore Speech-Language Pathologist 42 Geary Cordell Dr, Mills River, NC 28759-6540 2007-03-21
1902840069 Ann E. Moore Pharmacist 900 E. Divison St, Aurora Pharmacy #300, Wautoma, WI 54982 2006-06-16
1508806282 Ann Mary Moore Radiology 1201 Mount Kemble Avenue, Harding Township, NJ 07960-6799 2006-06-08
1861463960 Ann Groomer Moore Optometrist 6566 Glenwood Ave, Raleigh, NC 27612-7156 2006-01-28
1700491719 Ann Marie Moore Counselor 6110 Shallowford Rd, Chattanooga, TN 37421-1894 2020-09-15
1104167386 Ann R. Moore Nurse Practitioner 7916 W Jefferson Blvd, Fort Wayne, IN 46804-4140 2013-03-12
1043469208 Ann Moore Occupational Therapy Assistant 6401 Auburn Dr, Virginia Beach, VA 23464-3601 2008-09-12

Office Location

Street Address 4696 W OVERLAND RD
SUITE 118
City BOISE
State ID
Zip Code 83705-2845

Providers in the same location

NPI Name Taxonomy Address Enumeration
1477547370 Alex Peter Bormann Psychiatry & Neurology 4696 W Overland Rd, Suite 228, Boise, ID 83705-2845 2005-09-07
1255793204 Satinder Aujla Marriage & Family Therapist 4696 W Overland Rd, Suite 252, Boise, ID 83705-2845 2016-03-28
1598135394 Ability Health and Rehabilitation LLC Community/Behavioral Health 4696 W Overland Rd, Suite 236, Boise, ID 83705-2845 2015-10-06
1558622001 Michelle Annette Scoville-dorman Counselor 4696 W Overland Rd, Suite 252, Boise, ID 83705-2845 2012-05-31
1164723771 A Better Life Behavioral Health Services, Inc. Clinic/Center 4696 W Overland Rd, 236, Boise, ID 83705-2845 2010-11-12
1407171176 A Balanced Life Experience Counselor 4696 W Overland Rd, Suite 118, Boise, ID 83705-2845 2010-04-06
1700037819 Robin L Cogan Social Worker 4696 W Overland Rd, Suite 132, Boise, ID 83705-2845 2008-10-07
1437307378 Tara J Ryan Social Worker 4696 W Overland Rd, Suite 252, Boise, ID 83705-2845 2008-09-04
1093992794 Degolia Monzello Johnson Specialist 4696 W Overland Rd, Suite 224, Boise, ID 83705-2845 2008-01-24
1568647881 Marjorie Bolles Counselor 4696 W Overland Rd, 268, Boise, ID 83705-2845 2008-01-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053938779 Halo Health Services LLC Community/Behavioral Health 1111 S Orchard St, Boise, Id 83705, Boise, ID 83705 2020-06-29
1598265860 Felica Jo Duce Counselor 921 S Orchard St Ste 103, Boise, ID 83705 2018-02-13
1215364278 Erica Zelickowski Pharmacist 1653 S Vista Avenue, Boise, ID 83705 2013-10-04
1952655490 Aida Dizdar-barac Social Worker 2273 S. Vista Avenue, Suite 190, Boise, ID 83705 2012-11-06
1033461033 Julie Marie Meek Social Worker 3324 W Elder St, Boise, ID 83705 2012-10-15
1568761112 Berkeley Fraser Pharmacist 3527 S Federal Way Suite 104, Boise, ID 83705 2011-03-22
1922311042 Amber Vania Family Medicine 4971 W. Overland Road, Boise, ID 83705 2010-07-18
1295056836 Cherise M Wetzel Social Worker 1625 S Eagleson Rd, B1, Boise, ID 83705 2010-06-17
1558685305 Rae Ann Norell Social Worker 2273 S. Vista Ave, #190 Treasure Valley Community Counseling Services, Boise, ID 83705 2010-03-23
1164679932 Oreana Harless Social Worker 2550 South Vista Ave, Boise, ID 83705 2008-08-25
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1003425547 Jennifer Weseman Counselor 6305 W Overland Rd Ste 100, Boise, ID 83709-3029 2020-07-30
1801405766 Kristin Sue Richards Counselor 2000 N Larch St, Boise, ID 83706-1020 2020-07-27
1891316972 Mary Lott Counselor 6300 W Denton St, Boise, ID 83704-9326 2020-04-30
1750900429 Patrick Barga Counselor 344 S Latah St Apt 202, Boise, ID 83705-5175 2020-04-13
1184254146 Emily Diane Bergstrom Counselor 2365 N 34th St, Boise, ID 83703-5523 2020-01-18
1073150033 Allegiance Behavioral Health LLC Counselor 1010 N Orchard St Ste 1a, Boise, ID 83706-2255 2019-12-09
1841836178 Hopeful Connections Parenting, LLC Counselor 1027 S Curtis Rd, Boise, ID 83705-1842 2019-11-21
1528601440 Idaho Federtion of Families Counselor 704 N 7th St, Boise, ID 83702-5503 2019-10-23
1073154175 A Better Life Counseling Pllc Counselor 4948 W Kootenai St Ste 102, Boise, ID 83705-2081 2019-10-01
1265087522 Rosalie Lacivita Counselor 921 S Orchard St Ste 100, Boise, ID 83705-1916 2019-08-05
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Competitor

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City BOISE
Zip Code 83705

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Dataset Information

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.

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