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Active NPI 1568944478 Individual Practitioner Female Practitioner

Holly Marie Moore , ASW

Counselor • Eureka, CA

Professional Overview & Biography Verified Profile Summary

Holly Moore, ASW is a registered healthcare professional specializing in Counselor in Eureka, CA. Practice services are available at 720 WOOD ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

720 Wood St

Eureka, CA 955014413

Telephone 7072682990
Associated Practice Facility / Clinic
🏢 County Of Humboldt Facility NPI 1194763219

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Eureka, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.0 Yrs
State Avg: 12.9 Yrs
Regional Practice Density
99 Specialists

Practicing in Eureka, CA (14303 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License CA 85423

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.

Marriage & Family Therapist

NUCC Taxonomy Code: 106H00000X

State License CA 85423

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Secondary Practice Locations

290 E Gobbi St

Ukiah, CA 954825559

Phone: 7074633300

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Ashley Kinman

Case Manager/Care Coordinator

NPI 1003152893
Jacquelyn White

Counselor - Mental Health

NPI 1003211319
Shawna Reckinger , RN

Registered Nurse - Psychiatric/Mental Health

NPI 1003286865

Registered Nurse

Allison Phillips , RN

Registered Nurse - Psychiatric/Mental Health

NPI 1003327768

Registered Nurse

Aimee Woods , LVN

Licensed Vocational Nurse

NPI 1003463050

Licensed Vocational Nurse

NPI 1013150416

Physical Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location October 29, 2019

Registered at 720 WOOD ST, EUREKA, CA 955014413 (Tel: 7072682990)

📍
Updated Business Mailing Address October 29, 2019

Registered at 1025 COUSINS ST APT D, EUREKA, CA 955015623 (Tel: 9166133321)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 14, 2018

Marriage & Family Therapist (License #85423 in CA)

NPI Profile Active September 06, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location September 06, 2018

Registered at 290 E GOBBI ST, UKIAH, CA 954825559 (Tel: 7074633300)

📍
Updated Business Mailing Address September 06, 2018

Registered at 610 2ND ST, UPPER LAKE, CA 954859275 (Tel: 9166133321)

👤
Provider Name / Credentials Updated September 06, 2018

Recorded as HOLLY MOORE, ASW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 06, 2018

Marriage & Family Therapist (License #ASW85423 in CA)

🟢
Initial NPI Registration & Enumeration September 06, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1568944478
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 06, 2018
Last Update: October 29, 2019
Sole Proprietor: Yes

Mailing Address

1025 Cousins St Apt D

Eureka, CA 955015623

Phone: 9166133321

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.