Sean Moore, MDIV, MS, LMFT

Primary specialty

Family PsychologistTaxonomy code 103TF0000X

Practice address

1303 W Gore Blvd Ste 6
Lawton, OK 73501-3666

Phone

(580) 512-0193

NPI assigned

Mar 27, 2023

Last updated

Mar 27, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

State of OklahomaGroup PAC ID 4486558962, 99 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Sean a Moore Ms PLLC

  • Community/Behavioral Health Agency
  • Lawton, OK
  • NPI 1396691309
  Medicare reassignment NPD Authorized official
• State of Oklahoma

  dba Central Oklahoma Community Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Norman, OK
  • NPI 1588755532
  Medicare reassignment Care Compare group
• State of Oklahoma

  • Skilled Nursing Facility
  • Talihina, OK
  • NPI 1154589430
  NPD
• State of Oklahoma

  dba Carl Albert Community Mental Health Center

  • Medical Specialty Clinic/Center
  • McAlester, OK
  • NPI 1689843559
  NPD

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

{
    "created_epoch": "1679875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679875200000",
    "number": "1386348324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 NW HEATHERSTONE DR",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735059535",
            "telephone_number": "803-447-8938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 W GORE BLVD STE 6",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735013666",
            "telephone_number": "580-512-0193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "SEAN",
        "name_prefix": "Mr.",
        "credential": "MDIV, MS, LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-27",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Moore
• Katherine Roya Moore, APRN-CNP
• Lana J Moore, MS RPT
• Maria Del Carmen Moore, BS
• Precious Moore
• Vickie Moots, LPC
• Janette Adriana Morales Herrera
• Valentin Morales
• Heather Shea Morefield
• Thomas Moreland

• Family Psychologist in Lawton, OK
• Providers in Lawton, OK by specialty
• Family Psychologist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; 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.