Individual provider Active NPI

Karen Vernell Moore, LBSW, LPC

  • Professional Counselor
  • Missouri City, TX
National Provider Identifier
1124582689
Registry record updated Mar 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
81348 Issued in TX
Practice address
4611 Morning Glory CT
Missouri City, TX 77459-4507
Phone
(832) 594-0799
NPI assigned
Jan 29, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 81348 TX Primary

Addresses

Primary practice location

4611 Morning Glory CT
Missouri City, TX 77459-4507

Mailing address

4611 Morning Glory CT
Missouri City, TX 77459-4507
Phone (832) 594-0799

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240215004100 TX Practitioner - Mental Health Counselor 8729422977 Practice locations: Missouri City, TX

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Missouri City, TX 77459
Phone (832) 594-0799

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Living Word Pharmacy Technician School Current Accepting new patients
KV'S Consultants CurrentSince May 1, 2021 Accepting new patients

Locations

2601 Cartwright Rd
Ste D
Missouri City, TX 77459
Phone (713) 478-7650

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1548720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1124582689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4611 MORNING GLORY CT",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774594507",
            "telephone_number": "832-594-0799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4611 MORNING GLORY CT",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774594507",
            "telephone_number": "832-594-0799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "KAREN",
        "middle_name": "VERNELL",
        "credential": "LBSW, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-29",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "81348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missouri City, TX

Sources for this page

Verify at the official NPI Registry.