Melissa Moore, MA, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

202904 Issued in TX

Practice address

1205 Ranch Road 620 S
Lakeway, TX 78734-6311

Phone

(512) 537-4789

NPI assigned

Mar 10, 2014

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

Master of Arts

State licenses

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

{
    "created_epoch": "1394409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1487070819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 RANCH ROAD 620 S",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "787346311",
            "telephone_number": "512-537-4789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 RANCH ROAD 620 S",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "787346311",
            "telephone_number": "512-537-4789"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10526 Dubnoff Way",
            "address_purpose": "LOCATION",
            "city": "North Hollywood",
            "state": "CA",
            "postal_code": "916063921",
            "country_code": "US",
            "telephone_number": "818-755-4950",
            "fax_number": "818-752-0783",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "MELISSA",
        "credential": "MA, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-10",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "202904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura S. Miller, MD
• Stacy E Miller, D.D.S.,M.S.
• Leila Moghaddam Rad, D.M.D
• Safi Momin, DPT
• Weronika Monaco
• Todd L Moore, D.C.
• Marshall Wade Morgan, DDS MSD
• Steven Mark Morgan, DDS
• Jack Gregory Morper, M.D.
• Mozdbar Eyecare PLLC

• Marriage & Family Therapist in Lakeway, TX
• Providers in Lakeway, 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 Mar 17, 2018; 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.