Rebba A Moore, LPC-R

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0704016456 Issued in VA

Practice address

4250 Fairfax Dr Ste 600
Arlington, VA 22203-1665

Phone

(240) 748-0743

NPI assigned

Jul 16, 2025

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: rebba.moore.1@8042.direct.athenahealth.com

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

{
    "created_epoch": "1752624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1366334153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 TUNLAW RD NW APT 1004",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200074845",
            "telephone_number": "651-323-7841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 FAIRFAX DR STE 600",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222031665",
            "telephone_number": "240-748-0743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "REBBA",
        "middle_name": "A",
        "credential": "LPC-R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-16",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0704016456",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0704016456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Donald Moore, DPT, PT
• Karen Moore
• Keva Moore, HOME HEALTH AIDE
• Marianne Moore, M.D.
• Michael Anthony Moore Jr.
• Sarah Moore, LPC
• Wendy Wahl Moore, LPC
• Barbara Ann Morales
• Leslie C Moran, L.C.S.W.
• Megan Warco Moran, DPT, EDD

• Mental Health Counselor in Arlington, VA
• Providers in Arlington, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2025; 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.