Elise Genevieve Moore, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

133173 Issued in CA

Practice address

19040 Soledad Canyon Rd Ste 260
Santa Clarita, CA 91351-3363

Phone

(661) 542-1384

NPI assigned

Sep 28, 2017

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

Electronic endpoints 2

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": "1506556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1154830552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7817 VENTURA CANYON AVE APT 12",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914026352",
            "telephone_number": "661-645-2798",
            "fax_number": "661-259-9658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19040 SOLEDAD CANYON RD STE 260",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913513363",
            "telephone_number": "661-542-1384"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7817 Ventura Canyon Ave Apt 12",
            "address_purpose": "LOCATION",
            "city": "Panorama City",
            "state": "CA",
            "postal_code": "914026352",
            "country_code": "US",
            "telephone_number": "661-645-2798 x3151",
            "fax_number": "661-259-9658",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "ELISE",
        "middle_name": "GENEVIEVE",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-28",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "133173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "elise.moore@childfamilycenter.org",
            "affiliation": "Y",
            "endpointDescription": "Secure work email",
            "affiliationName": "Child and Family Center",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "21545 Centre Pointe Pkwy",
            "city": "Santa Clarita",
            "state": "CA",
            "country_code": "US",
            "postal_code": "91350",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "elise.moore@childfamilycenter.org",
            "affiliation": "Y",
            "endpointDescription": "Secure work email",
            "affiliationName": "Child and Family Center",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "21545 Centre Pointe Pkwy",
            "city": "Santa Clarita",
            "state": "CA",
            "country_code": "US",
            "postal_code": "91350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Clara Moon
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• Champagne Brionna Moore
• Jocelyn Mora
• Melissa Mora
• Kimberly Moraes, N/A
• George Moraga, D.D.S.
• Christina Mia Torres Morales

• Marriage & Family Therapist in Santa Clarita, CA
• Providers in Santa Clarita, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; 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.