Individual provider Active NPI

Jessica Lynn Moore

  • Professional Counselor
  • Cypress, TX
National Provider Identifier
1477413607
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
93283 Issued in TX
Practice address
17840 Mound Rd Ste E
Cypress, TX 77433-6931
Phone
(512) 763-2186
NPI assigned
Nov 11, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 93283 TX Primary

Addresses

Primary practice location

17840 Mound Rd Ste E
Cypress, TX 77433-6931

Mailing address

17622 Creek Bluff LN
Cypress, TX 77433-1300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251209004407 TX Practitioner - Mental Health Counselor 6709370513 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2904 Santa Rosita Dr
Round Rock, TX 78665-3411

3044 Zia St NE
Rio Rancho, NM 87144-5344

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
93283TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Counseling Works, LLP CurrentSince Dec 1, 2025 Accepting new patients

Locations

17840 Mound Rd
Ste E
Cypress, TX 77433
Phone (713) 581-0311

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1762819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1477413607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17622 CREEK BLUFF LN",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774331300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17840 MOUND RD STE E",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774336931",
            "telephone_number": "512-763-2186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-11",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "93283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, TX

Sources for this page

Verify at the official NPI Registry.