Marissa Opal Moore, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2017044142 Issued in MO

Practice address

3105 E Skelly Dr # 400B
Tulsa, OK 74105-6358

Phone

(918) 591-3071

Fax

(918) 615-2261

NPI assigned

Jan 15, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: marissamoore@tdh.allscriptsdirect.net

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.

• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Professional

  NPD
• Recovery in Oklahoma LLC

  dba RiO Counseling

  • Clinic/Center
  • Tulsa, OK
  • NPI 1558805515
  NPD (past)
• Communitty Mental Health Consultants, Inc.

  dba Fast Comprehensive Care

  • Family Nurse Practitioner
  • Nevada, MO
  • NPI 1740330406

  Professional

  NPD (past)
• Community Mental Health Consultants, Inc.

  • Addiction (Substance Use Disorder) Counselor
  • Harrisonville, MO
  • NPI 1073729323

  Professional

  NPD (past)

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

{
    "created_epoch": "1515974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1134637937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3105 E SKELLY DR # 400B",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741056358",
            "telephone_number": "918-591-3071",
            "fax_number": "918-615-2261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 E SKELLY DR # 400B",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741056358",
            "telephone_number": "918-591-3071",
            "fax_number": "918-615-2261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "MARISSA",
        "middle_name": "OPAL",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-15",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2017044142",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "12384",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KS",
            "license": "03359",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Jerald Moore, PHD LCSW
• Kera Lynn Moore
• Krystal Brittany Moore, LPC-CANDIDATE
• Lauren Jennette Moore, D.O.
• Leslie Ann Moore
• Melandy Moore, M.S.
• Melissa L Moore, DPT
• Meloney Ellen Moore
• Micaylon Moore
• Michael Shane Moore Jr., DO

• Professional Counselor in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Professional Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; 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.