Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jasmine Perez Moore, MA

Individual provider Professional Counselor · NPI 1609007343

Jasmine Perez Moore, MA is a Mental Health Counselor in Phoenix, Arizona. Qualified in 2005, 21 years ago. Practices with Crisis Preparation and Recovery Inc, a 46-clinician group. Licensed in Arizona.

Years since qualifying
21
Licensed in
AZ
In the registry since
2009
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

3420 E Shea Blvd #200
Phoenix, AZ 85028-3345
Phone: (602) 909-8409
Fax: (480) 237-9643
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LPC-13258 (AZ)

Record details

NPI number1609007343
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA
Sole proprietorNo
NPI enumeratedJuly 29, 2009
Last updated in NPPESJuly 28, 2010

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Crisis Preparation And Recovery Inc — 46 clinicians
Accepts Medicare assignment Not indicated

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