Robyn Diane Moore-Sullivan, MA, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MC60629255 Issued in WA

Practice address

3000 SE 164TH Ave Ste 108
Vancouver, WA 98683-9314

Phone

(360) 910-2038

NPI assigned

Jul 24, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Robyn Diane Moore Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1563926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652832000000",
    "number": "1184278566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 SE 164TH AVE STE 108",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986839314",
            "telephone_number": "360-910-2038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 SE 164TH AVE STE 108",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986839314",
            "telephone_number": "360-910-2038"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "811 NE 112th Ave",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986845115",
            "country_code": "US",
            "telephone_number": "360-901-2038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE-SULLIVAN",
        "first_name": "ROBYN",
        "middle_name": "DIANE",
        "credential": "MA, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-24",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC60629255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBYN",
            "last_name": "MOORE",
            "middle_name": "DIANE",
            "credential": "LMHC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Robin Fries Mooney, RN
• Moonstone Medical Group, PLLC
• Moontree Counseling
• Christopher P. Moor, AU.D.
• Moore Counseling and Care LLC
• Caitlin Darlene Moore
• Chelsey Nicole Moore
• Cynthia Jane Moore, CSWA
• Dana Moore, MOT, OTR/L
• David Moore

• Mental Health Counselor in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.