Mary Kay Moore, LPC-A

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

87741 Issued in TX

Practice address

1504 Wood Acre LN
Austin, TX 78733-2157

Phone

(512) 636-0888

NPI assigned

Jan 24, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1642982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642982400000",
    "number": "1104578830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 VILLAGE WEST DR # 69",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787331977",
            "telephone_number": "512-636-0888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 WOOD ACRE LN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787332157",
            "telephone_number": "512-636-0888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "MARY",
        "middle_name": "KAY",
        "credential": "LPC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-24",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "87741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lillian Moore, EFT-ADV
• Lisa Moore
• Madison Gray Moore
• Marina Moore, DO
• Mary Elizabeth Moore, LCSW
• Megan Michelle Moore, MS CCC-SLP
• Michele Kay Moore, D.C.
• Natalie Moore, RMT
• Nicole Moore, PT
• Nima Jean Moore, MS CCCSLP

• Mental Health Counselor in Austin, TX
• Providers in Austin, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2022; 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.