Individual provider Active NPI

Kayla Moore, MS, LMFT

  • Marriage & Family Therapist
  • Tacoma, WA
National Provider Identifier
1083139281
Registry record updated Nov 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LF60995323 Issued in WA
Practice address
4141 6TH Ave Ste C
Tacoma, WA 98406-4034
Phone
(253) 525-2424
NPI assigned
Aug 8, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LMFTA.MG.60778639 WA
Marriage & Family Therapist 106H00000X LF60995323 WA Primary

Addresses

Primary practice location

4141 6TH Ave Ste C
Tacoma, WA 98406-4034

Mailing address

1330 211TH PL SW
Lynnwood, WA 98036-8676
Phone (206) 948-5189

Other practice location 1

1000 Auburn Way S
Auburn, WA 98002-6132
Phone (253) 939-2202 ext. 1331

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LF60995323WAMDMarriage & Family Therapist
LMFTA.MG.60778639WAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1502150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574726400000",
    "number": "1083139281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 211TH PL SW",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980368676",
            "telephone_number": "206-948-5189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4141 6TH AVE STE C",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984064034",
            "telephone_number": "253-525-2424"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Auburn Way S",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "WA",
            "postal_code": "980026132",
            "country_code": "US",
            "telephone_number": "253-939-2202 x1331",
            "fax_number": "253-735-1894",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "KAYLA",
        "credential": "MS, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-08",
        "last_updated": "2019-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "LMFTA.MG.60778639",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "LF60995323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2019; 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.