JONATHAN PERRY MOORE LLC
NPI 1982486643
Counselor - Mental Health in Holland, MI
About Jonathan Perry Moore Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JONATHAN PERRY MOORE LLC (NPI 1982486643) is an individual mental health provider in Holland, Michigan, licensed in Michigan (6451023316) and active in the NPI registry since October 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jonathan Perry Moore Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jonathan Moore's NPI number?
The NPI number for Jonathan Moore is 1982486643. It was assigned to this individual provider in the NPPES registry on October 17, 2023.
Where is Jonathan Moore located?
Jonathan Moore practices at 170 College Ave Ste 310, Holland, MI 49423. The listed phone number is (616) 745-6748.
What is Jonathan Moore's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Jonathan Moore enrolled in Medicare?
Yes. Jonathan Moore is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Jonathan Moore was last updated on October 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Jonathan Perry Moore, LLC · NPI 1982486643
Mental Health provider in Holland, Michigan. Individual provider, active in the CMS NPPES registry since October 17, 2023.
## Identity
- **NPI:** 1982486643 (Entity type: Individual)
- **Enumerated:** October 17, 2023
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 6451023316 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 170 COLLEGE AVE STE 310, Holland, MI 49423-2982
- **Phone:** (616) 745-6748
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** October 17, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1982486643) · Data from the CMS NPPES public registry.