Active NPI
Kayla Moore, MS, LMFT
- Marriage & Family Therapist
- Tacoma, WA
National Provider Identifier
1083139281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LF60995323
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| LF60995323 | WA | MD | Marriage & Family Therapist |
| LMFTA.MG.60778639 | WA | MD | Marriage & 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.