Jessica Moore, PH.D. LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

203852 Issued in TX

Practice address

716 Sunset Vista Dr
Georgetown, TX 78628-3277

Phone

(919) 559-9544

NPI assigned

Jan 5, 2021

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1609804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609804800000",
    "number": "1407444540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 SUNSET VISTA DR",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786283277",
            "telephone_number": "919-559-9544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 SUNSET VISTA DR",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786283277",
            "telephone_number": "919-559-9544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "JESSICA",
        "name_prefix": "Dr.",
        "credential": "PH.D. LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-05",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "203852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Michelle Molitor, LPC
• Kashauna Monahan, OTR/L
• David Montalvo, RN
• Christine Tivnan Montero, SPEECH LANGUAGE PATH
• Kelly Horton Montiville, MD
• Karlen Brook Moore, PH.D.
• Ronald Barry Moore, FNP-BC, PMHNP-BC
• Raegan Morales
• Santiago Ruiz Morales III, LMSW
• Stephanie Makumi Moreno, AGNP-C

• Marriage & Family Therapist in Georgetown, TX
• Providers in Georgetown, TX by specialty
• Marriage & Family Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2021; 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.