Susan Lynette Moore

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

81860 Issued in TX

Practice address

901 S Hewitt Dr Unit 36
Hewitt, TX 76643-8003

Phone

(254) 644-8883

NPI assigned

Oct 17, 2022

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

Enrolled in TX

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

Mental Health Counselor

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Etsah Counseling Center, PLLCGroup PAC ID 7719262153, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Etsah Counseling Center, PLLC

  dba Etsah Counseling

  • Mental Health Counselor
  • Waco, TX
  • NPI 1427591320
  Medicare reassignment Care Compare group NPD
• Advance Counseling Service LLC

  • Mental Health Counselor
  • Hewitt, TX
  • NPI 1184539686
  NPD (past) Authorized official

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

{
    "created_epoch": "1665964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1467178020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 S HEWITT DR UNIT 36",
            "city": "HEWITT",
            "state": "TX",
            "postal_code": "766438003",
            "telephone_number": "254-644-8883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 S HEWITT DR UNIT 36",
            "city": "HEWITT",
            "state": "TX",
            "postal_code": "766438003",
            "telephone_number": "254-644-8883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "SUSAN",
        "middle_name": "LYNETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-17",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "81860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly Nicole Michael, LCSW
• Midway Isd
• Andre Mills
• David Quinton Moore, D.C.
• Michael Paul Moore, D.C.
• Tammy Lynne Moore
• Jamie Michelle Nelson, MAMFT, LMFT ASSOC
• Kate Marie-Hall Nelson
• Neurotherapy PLLC
• Maria Annabella Ocampos, OTR

• Professional Counselor in Hewitt, TX
• Providers in Hewitt, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; 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.