Active NPI
Melissa Kristen Moores, M.S., LPC, MT-BC
- Professional Counselor
- Austin, TX
National Provider Identifier
1417241654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 4131 Spicewood Springs Rd
Ste. I-6
Austin, TX 78759-8661 - Phone
- (512) 994-4942
- Fax
- (512) 292-1144
- NPI assigned
- Jun 6, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
4131 Spicewood Springs Rd
Ste. I-6
Austin, TX 78759-8661
Mailing address
4131 Spicewood Springs Rd
Ste. I-6
Austin, TX 78759-8661
Phone (512) 994-4942
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 288480101 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423785600000",
"number": "1417241654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4131 SPICEWOOD SPRINGS RD",
"address_2": "STE. I-6",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787598661",
"telephone_number": "512-994-4942",
"fax_number": "512-292-1144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4131 SPICEWOOD SPRINGS RD",
"address_2": "STE. I-6",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787598661",
"telephone_number": "512-994-4942",
"fax_number": "512-292-1144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORES",
"first_name": "MELISSA",
"middle_name": "KRISTEN",
"credential": "M.S., LPC, MT-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-06",
"last_updated": "2015-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "288480101",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.