Active NPI
William Moore, LPC
- Professional Counselor
- Duncan, OK
National Provider Identifier
1285084657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 7301
- Practice address
- 3405 Kristin LN
Duncan, OK 73533-1801 - Phone
- (580) 736-4455
- NPI assigned
- Jun 16, 2016
- Sex
- Male
- 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 | 7301 | OK | Primary |
Addresses
Primary practice location
3405 Kristin LN
Duncan, OK 73533-1801
Mailing address
3405 Kristin LN
Duncan, OK 73533-1801
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4045 NW 64TH St
Suite 520
Oklahoma City, OK 73116-8608
Phone (405) 842-4911
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7301 | OK | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Our House Mhsa Inc | Current | Accepting new patients | |
| New Life Counseling Center | Past | Accepting new patients |
Locations
2305 SW H Ave
Ste 1
Lawton, OK 73505
Phone (580) 699-8000
Organizations & group practices 3
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.
-
- Mental Health Counselor
- Lawton, OK
- NPI 1790144160
-
- Community/Behavioral Health Agency
- Duncan, OK
- NPI 1235754458
-
- Clinical Psychologist
- Oklahoma City, OK
- NPI 1659328284
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587427200000",
"number": "1285084657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3405 KRISTIN LN",
"city": "DUNCAN",
"state": "OK",
"postal_code": "735331801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3405 KRISTIN LN",
"city": "DUNCAN",
"state": "OK",
"postal_code": "735331801",
"telephone_number": "580-736-4455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "WILLIAM",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-06-16",
"last_updated": "2020-04-21",
"certification_date": "2020-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OK",
"license": "7301",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Duncan, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.