Theresa Lynn Moore, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

5022767 Issued in NC

Practice address

1615 Polo Rd
Winston Salem, NC 27106-3831

Phone

(336) 722-7266

Fax

(336) 201-0538

NPI assigned

Jun 5, 2020

Last updated

Jan 15, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, NV, CA, NC4 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 4

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Mood Treatment Center, PLLCGroup PAC ID 6103068598, 12 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

73.59 of 100Reported as group

Quality

72.02

Promoting interoperability

24

Improvement activities

40

Cost

86.6

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: theresa.moore.p1@direct.wthc.nextgenshare.com
• Direct secure messaging: tmoore565672@direct.multicare.org

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.

• Mood Treatment Center, PLLC

  • Psychiatry Physician
  • Winston Salem, NC
  • NPI 1285867952
  Medicare reassignment Care Compare group NPD
• The Neil Group, Inc

  • Psychiatry Physician
  • Winston Salem, NC
  • NPI 1518142280
  Medicare reassignment NPD
• Psychiatry of Texas PLLC

  dba Psychplus Associates

  • Psychiatry Physician
  • Houston, TX
  • NPI 1013476027

  NV, Psychiatric/Mental Health

  Medicare reassignment NPD
• Psychplus Associates of California PC

  • Psychiatry Physician
  • Berkeley, CA
  • NPI 1457179442
  Medicare reassignment NPD
• Psychplus Medical Associates of California PC

  • Internal Medicine Physician
  • Houston, TX
  • NPI 1124875588

  CA

  Medicare reassignment NPD
• Psychplus Medical Associates, PLLC

  • Family Medicine Physician
  • Houston, TX
  • NPI 1558118026

  NV

  Medicare reassignment NPD
• Washoe Tribe of Nevada and California

  dba Washoe Tribal Health Clinic

  • Clinic/Center
  • Gardnerville, NV
  • NPI 1396778379

  TX

  Medicare reassignment
• The Neil Group, Inc

  • Mental Health Counselor
  • Winston Salem, NC
  • NPI 1720115512
  NPD
• Wellmood PLLC

  • Psychiatry Physician
  • Winston Salem, NC
  • NPI 1154182368
  NPD
• Pacific Coast Psychiatric Associates Inc

  dba Lifestance Health

  • Clinical Psychologist
  • Scottsdale, AZ
  • NPI 1023125465
  NPD (past)

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

{
    "created_epoch": "1591315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768435200000",
    "number": "1316561202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 POLO RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271063831",
            "telephone_number": "336-722-7266",
            "fax_number": "336-201-0538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 POLO RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271063831",
            "telephone_number": "336-722-7266",
            "fax_number": "336-201-0538"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "104 Cambridge Plaza Dr",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271043556",
            "country_code": "US",
            "telephone_number": "336-722-7266",
            "fax_number": "336-201-0538",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "THERESA",
        "middle_name": "LYNN",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-05",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5022767",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "NP95019703",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Lynn Moore, PAC
• Natalie Marie Moore
• Phillip Schmitz Moore, MD
• Sandra Lynn Moore, PT
• Sydney Moore, LCMHCA
• Timothy Joseph Moore, MD
• Tonya Michelle Moore, MS, NCC, LPC
• Wendy Colleen Moore, MD
• William Nicholas Moore, M.D., PH.D.
• William Scott Moore, M.D.

• Psychiatric/Mental Health Nurse Practitioner in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Psychiatric/Mental Health Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2026; 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.

Verify at the official NPI Registry.