Tracy S Moore-Merrell, MFT-I, PSY.D

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MI0875 Issued in NV

Practice address

304 S Jones Blvd Ste 264
Las Vegas, NV 89107-2623

Phone

(702) 815-9494

Fax

(702) 553-3417

NPI assigned

Aug 21, 2008

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

Other names 1

• Tracy S Moore Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Dr. Moore'S Tele-Therapy

  • Marriage & Family Therapist
  • Las Vegas, NV
  • NPI 1588203038
  NPD Authorized official

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

{
    "created_epoch": "1219276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602028800000",
    "number": "1447407408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 S JONES BLVD STE 264",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891072623",
            "telephone_number": "702-815-9494",
            "fax_number": "702-553-3417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 S JONES BLVD STE 264",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891072623",
            "telephone_number": "702-815-9494",
            "fax_number": "702-553-3417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE-MERRELL",
        "first_name": "TRACY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MFT-I, PSY.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-21",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "MI0875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACY",
            "last_name": "MOORE",
            "middle_name": "S",
            "credential": "MFT-I, PSY.D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Moonrise Therapy, PLLC
• Jacqui Mooradian, LPTA
• Moore Family Dentistry
• Moore Family Dentistry LLC
• Pauline Sylvia Moore Yannuzzi
• Tiffanie Avia Moore-Quinn
• Alana Moore-Smith
• Kristina Moore-Swift
• Aaliyah Moore
• Akeela Moore

• Marriage & Family Therapist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Marriage & Family Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2020; 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.