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SANETRIA MOORE CMHT, CCSS
NPI 1184361883
Counselor - Mental Health in Jackson, MS

Active since May 16, 2022
3450 HIGHWAY 80 W, JACKSON, MS 39209(601) 321-2497(601) 985-5174 Get Directions Write a Review

NPPES record last updated: April 20, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 20, 2026, Apr 16, 2026, May 16, 2022 (3 updates tracked since 2022).

About Sanetria Moore Cmht, Ccss NPPES

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

SANETRIA MOORE CMHT, CCSS (NPI 1184361883) is an individual mental health provider in Jackson, Mississippi and active in the NPI registry since May 2022.

NPPES Registry Identity

NPI1184361883
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSANETRIA MOORECredential: CMHT, CCSS
Location Address3450 HIGHWAY 80 WJackson, MS 39209-7201
Mailing Address3450 Highway 80 WJackson, MS 39209-7201 · (601) 321-2497 · Fax (601) 985-5174
Phone(601) 321-2497
Fax(601) 985-5174
Sole ProprietorNo
Enumeration DateMay 16, 2022
Last NPPES UpdateApril 20, 20263 updates tracked since enumeration
NPPES CertifiedApril 20, 2026
✔ NPI 1184361883 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedCase ManagementTaxonomy 251B00000X
3450 HIGHWAY 80 W, Jackson, MS 39209
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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.

ELLEEANNA LAWSON CAT,LMSW
Counselor (Addiction (Substance Use Disorder))
3450 HIGHWAY 80 W
JACKSON, MS 39209
Hinds County (601) 321-2497
MEGAN M MCCARTY LMSW
Social Worker
3450 HIGHWAY 80 W
JACKSON, MS 39209
Hinds County (601) 321-2400
ANGELA NICOLE CHILDRESS LMSW
Social Worker
3450 HIGHWAY 80 W
JACKSON, MS 39209
Hinds County (601) 321-2400
MRS. EBONY HUMPHERY PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
3450 HIGHWAY 80 W
JACKSON, MS 39209
Hinds County (601) 321-2400
ANDRIA WILLIS BSW
Case Manager/Care Coordinator
3450 HIGHWAY 80 W
JACKSON, MS 39209
Hinds County (769) 257-4562
BRENDA WALKER
Counselor (Addiction (Substance Use Disorder))
3450 HIGHWAY 80 W
JACKSON, MS 39209
Hinds County (601) 321-2497
EVE WILLIAMS
Counselor (Mental Health)
3450 HIGHWAY 80 W
JACKSON, MS 39209
Hinds County (601) 321-2400
MS. ANGELICA GOWDY PCMHT
Counselor (Mental Health)
3450 HIGHWAY 80 W
JACKSON, MS 39209
Hinds County (601) 321-2400

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 Sanetria Moore's NPI number?

The NPI number for Sanetria Moore is 1184361883. It was assigned to this individual provider in the NPPES registry on May 16, 2022.

Where is Sanetria Moore located?

Sanetria Moore practices at 3450 Highway 80 W, Jackson, MS 39209. The listed phone number is (601) 321-2497.

What is Sanetria Moore's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Sanetria Moore was last updated on April 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.