JAZZMINE MADISON MOODY
NPI 1073391835
Counselor - Professional in Cape Girardeau, MO

Active since September 21, 2023
2909 INDEPENDENCE ST, CAPE GIRARDEAU, MO 63703(573) 803-1402(573) 803-1405 Get Directions Write a Review

NPPES record last updated: March 3, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jazzmine Madison Moody NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAZZMINE MADISON MOODY (NPI 1073391835) is an individual professional provider in Cape Girardeau, Missouri and active in the NPI registry since September 2023.

NPPES Registry Identity

NPI1073391835
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJAZZMINE MADISON MOODY
Location Address2909 INDEPENDENCE STCape Girardeau, MO 63703-5044
Mailing Address20 S Sprigg StCape Girardeau, MO 63703-6212 · (573) 651-4177
Fax(573) 803-1405
Sole ProprietorNo
Enumeration DateSeptember 21, 2023
Last NPPES UpdateMarch 3, 2026
NPPES CertifiedMarch 3, 2026
NPI 1073391835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
2909 INDEPENDENCE ST, Cape Girardeau, MO 63703

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
2909 INDEPENDENCE ST
CAPE GIRARDEAU, MO 63703
Social Worker (Clinical)
2909 INDEPENDENCE ST
CAPE GIRARDEAU, MO 63703
Counselor (Professional)
2909 INDEPENDENCE ST
CAPE GIRARDEAU, MO 63703
Counselor
2909 INDEPENDENCE ST
CAPE GIRARDEAU, MO 63703
Counselor (Professional)
2909 INDEPENDENCE ST
CAPE GIRARDEAU, MO 63703
Counselor (Professional)
2909 INDEPENDENCE ST
CAPE GIRARDEAU, MO 63703
Social Worker (Clinical)
2909 INDEPENDENCE ST
CAPE GIRARDEAU, MO 63703
Social Worker
2909 INDEPENDENCE ST
CAPE GIRARDEAU, MO 63703

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jazzmine Moody's NPI number?

The NPI number for Jazzmine Moody is 1073391835. It was assigned to this individual provider in the NPPES registry on September 21, 2023.

Where is Jazzmine Moody located?

Jazzmine Moody practices at 2909 Independence St, Cape Girardeau, MO 63703. The listed phone number is (573) 803-1402.

What is Jazzmine Moody's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Jazzmine Moody was last updated on March 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.