Krissa L Moore, MS

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC-0011189 Issued in DE

Practice address

23 Deasy Dr
Newark, DE 19702-2750

Phone

(856) 397-4628

NPI assigned

Dec 10, 2019

Last updated

Dec 18, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Ms. Krissa L Cook Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cooperative Care Partnership, Inc

  • Community/Behavioral Health Agency
  • Rio Grande, NJ
  • NPI 1477898096
  NPD (past)
• Cooperative Care Partnership, Inc.

  • Community/Behavioral Health Agency
  • Rio Grande, NJ
  • NPI 1598124828
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1575936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1013554054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 173",
            "city": "BEAR",
            "state": "DE",
            "postal_code": "197010173",
            "telephone_number": "856-397-4628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 DEASY DR",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197022750",
            "telephone_number": "856-397-4628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "KRISSA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-10",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00702400",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "DE",
            "license": "PC-0011189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISSA",
            "last_name": "COOK",
            "middle_name": "L",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Aoife Mooney
• Colleen Mooney
• Barry Earl Moore, LCSW
• Dawn Moore, CNM
• Jane Williams Moore, MD
• Nancy J Moore, APN
• Patricia Moore, MD
• Shashonna L Moore, LPCMH, CAADC
• Tammie Lynn Moore, NP
• Youngja Moore, NP

• Professional Counselor in Newark, DE
• Providers in Newark, DE by specialty
• Professional Counselor in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.