Individual provider Active NPI

Megan Moore, LPC

  • School Counselor
  • Victoria, TX
National Provider Identifier
1245682251
Registry record updated Feb 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
School CounselorTaxonomy code 101YS0200X
License
76114 Issued in TX
Practice address
2002 Commerce St Ste C
Victoria, TX 77901-5538
Phone
(361) 570-1444
Fax
(361) 570-1446
NPI assigned
Jul 1, 2016
Last updated
Feb 11, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Counselor 101YS0200X 76114 TX Primary
Case Manager/Care Coordinator 171M00000X

Addresses

Primary practice location

2002 Commerce St Ste C
Victoria, TX 77901-5538

Mailing address

2002 Commerce St Ste C
Victoria, TX 77901-5538
Phone (361) 570-1444

Other practice location 1

1801 N Laurent St
Suite 107
Victoria, TX 77901-5459
Phone (361) 894-8734

Other identifiers 1

IdentifierTypeStateIssuer
384851701MedicaidTX

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

LicenseStateTypeSpecialty
76114TXMDSchool Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Raul R Capitaine Mdpa PastSince Apr 24, 2020 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1467331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549843200000",
    "number": "1245682251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2002 COMMERCE ST STE C",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779015538",
            "telephone_number": "361-570-1444",
            "fax_number": "361-570-1446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 COMMERCE ST STE C",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779015538",
            "telephone_number": "361-570-1444",
            "fax_number": "361-570-1446"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1801 N Laurent St",
            "address_2": "Suite 107",
            "address_purpose": "LOCATION",
            "city": "Victoria",
            "state": "TX",
            "postal_code": "779015459",
            "country_code": "US",
            "telephone_number": "361-894-8734",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "MEGAN",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-01",
        "last_updated": "2019-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "TX",
            "license": "76114",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "384851701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Victoria, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2019; 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.