Micah Moore, LMFT CANDIDATE

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

114 S 7TH Ave
Durant, OK 74701-5017

Phone

(580) 924-4779

Fax

(580) 924-4779

NPI assigned

May 9, 2022

Last updated

May 9, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Marriage and Family Therapist

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Senior Psychological Care of Oklahoma, LLCGroup PAC ID 7214311448, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Senior Psychological Care of Oklahoma, LLC

  • Psychologist
  • Tulsa, OK
  • NPI 1740931609
  Medicare reassignment Care Compare group
• Inspire Counseling & Psychological Services, LLC

  • Community/Behavioral Health Agency
  • Durant, OK
  • NPI 1194114801
  NPD (past)

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

{
    "created_epoch": "1652054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652054400000",
    "number": "1336885813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 S 7TH AVE",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747015017",
            "telephone_number": "580-924-4779",
            "fax_number": "580-924-4779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 S 7TH AVE",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747015017",
            "telephone_number": "580-924-4779",
            "fax_number": "580-924-4779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "MICAH",
        "credential": "LMFT CANDIDATE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-05-09",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Durant",
            "affiliation": "N",
            "address_1": "114 S 7th Ave",
            "city": "Durant",
            "state": "OK",
            "country_code": "US",
            "postal_code": "747015017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Fnu Mohammed Mahmoodurrahman, M.D.
• Robert Allen Moody II, DO
• Brenna E Moore, BA
• Brittney Nicole Moore
• Jamie Moore
• Tonya Deann Moreno, TEACHER
• Ashley Morgan, MS, RD, LD
• Christopher D. Morgan, MD
• Jerome Morgan
• Katelen Sue Morgan

• Marriage & Family Therapist in Durant, OK
• Providers in Durant, OK by specialty
• Marriage & Family Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2022; 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.