Active NPI
Kimberly Moore, LPC, LMFT
- Professional Counselor
- Fort Smith, AR
National Provider Identifier
1235581869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- P1807087
- Practice address
- 3732 Rogers Ave
Fort Smith, AR 72903-2984 - Phone
- (479) 427-8333
- Fax
- (833) 427-1422
- NPI assigned
- Jul 7, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | P1807087 | AR | Primary |
Addresses
Primary practice location
3732 Rogers Ave
Fort Smith, AR 72903-2984
Mailing address
3732 Rogers Ave
Fort Smith, AR 72903-2984
Phone (479) 633-7423
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P1807087 | AR | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Krista Boncheff Counseling and Consulting LLC | Current | Accepting new patients | |
| Aspire Family Counseling and Consulting, LLC | Professional | Current | Accepting new patients |
| Perspectives Behavioral Health Management, LLC | Past | Accepting new patients | |
| Perspectives Behavioral Health Management, LLC | Counselor | Past | Accepting new patients |
Locations
3736 Rogers Ave
Fort Smith, AR 72903
3732 Rogers Ave
Fort Smith, AR 72903
Phone (479) 427-8333
Organizations & group practices 4
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.
-
- Professional Counselor
- Fort Smith, AR
- NPI 1710717343
-
- Clinical Social Worker
- Fort Smith, AR
- NPI 1851273197
-
- Mental Health Counselor
- Fort Smith, AR
- NPI 1124273420
-
- Psychiatry Physician
- Barling, AR
- NPI 1588709646
Counselor
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780012800000",
"number": "1235581869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3732 ROGERS AVE",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729032984",
"telephone_number": "479-633-7423",
"fax_number": "833-427-1422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3732 ROGERS AVE",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729032984",
"telephone_number": "479-427-8333",
"fax_number": "833-427-1422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "KIMBERLY",
"credential": "LPC, LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-07-07",
"last_updated": "2026-05-29",
"certification_date": "2026-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AR",
"license": "P1807087",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Smith, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.