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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
LCPC-3938 | ID | Behavioral Health & Social Service Providers |
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 |
Street Address |
4696 W OVERLAND RD SUITE 118 |
City | BOISE |
State | ID |
Zip Code | 83705-2845 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 83705 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
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 |
Find all providers in BOISE |
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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.