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Derrick Moore , LLC

Counselor β€’ Alma, MI

Active NPI 1245975507 Individual Practitioner Male Practitioner
Practice location in NPPES

608 Wright Ave
Alma, MI 488011617

Call 9894634971 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

608 Wright Ave

Alma, MI 488011617

Telephone 9894634971
Fax 9894636515
Organization at the Same NPPES Address or Phone
Gratiot Integrated Health Network Facility NPI 1710049242

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2022

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Alma and Michigan

5 active clinicians are listed under Counselor with a practice address in Alma, MI (2,519 in Michigan).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-06-09
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

License # reported to NPPES MI 6451025047

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Michigan Department of Licensing and Regulatory Affairs.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

7 listed
NPI 1194977959

Licensed Master Social Worker

NPI 1528211315

Master of Social Work, Licensed Master Social Worker

Jeffrey Kirby , MA LPC

Counselor - Professional

NPI 1194976027

MALPC

Megan Leonard , LMSW

Social Worker - Clinical

NPI 1225492598

Licensed Master Social Worker

Callie Neyer , LPC

Counselor - Professional

NPI 1801191945

Licensed Professional Counselor

Anne Swan , LMSW

Social Worker - Clinical

NPI 1285886044

Licensed Master Social Worker

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ‘€
Provider Name / Credentials Updated June 09, 2026

Recorded as DERRICK MOORE, LLC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 09, 2026

Counselor (license number reported to NPPES: MI 6451025047)

πŸ“
Updated Practice Location June 17, 2024

Registered at 608 WRIGHT AVE, ALMA, MI 488011617 (Tel: 9894634971)

πŸ“
Updated Business Mailing Address June 17, 2024

Registered at 608 WRIGHT AVE, ALMA, MI 488011617 (Tel: 9894634971)

βœ…
NPI Profile Active May 02, 2022

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 02, 2022

Registered at 789 N CLARE AVE, HARRISON, MI 486258250 (Tel: 9895600537)

πŸ“
Business Mailing Address (Initial Record) May 02, 2022

Registered at 789 N CLARE AVE, HARRISON, MI 486258250 (Tel: 9895600537)

πŸ‘€
Provider Name / Credentials (Initial Record) May 02, 2022

Recorded as DERRICK MOORE

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 02, 2022

Case Manager/Care Coordinator

🟒
Initial NPI Registration & Enumeration May 02, 2022

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1245975507
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 02, 2022
Last Update: June 09, 2026
Sole Proprietor: No

Mailing Address

608 Wright Ave

Alma, MI 488011617

Phone: 9894634971

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.