Kimberly Dawn Moore, MA, LIMHP, CPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

1614 Issued in NE

Practice address

6315 Aylesworth Ave
Lincoln, NE 68505-1276

Phone

(402) 416-1304

Fax

(402) 347-0909

NPI assigned

Apr 10, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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

Practice roles

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.

• Receiving Moore Psychotherapy PC

  • Mental Health Counselor
  • Lincoln, NE
  • NPI 1114577541
  NPD Authorized official
• Receiving Moore Psychotherapy PC

  • Mental Health Counselor
  • Lincoln, NE
  • NPI 1811765894
  NPD Authorized official

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

{
    "created_epoch": "1554854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568678400000",
    "number": "1487117966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6315 AYLESWORTH AVE",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685051276",
            "telephone_number": "402-416-1304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6315 AYLESWORTH AVE",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685051276",
            "telephone_number": "402-416-1304",
            "fax_number": "402-347-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "KIMBERLY",
        "middle_name": "DAWN",
        "credential": "MA, LIMHP, CPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-10",
        "last_updated": "2019-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NE",
            "license": "2101",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "1614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Ann Moore
• Eric Moore
• Grace Moore, DDS
• Jaquanie Renee Moore
• Jill Marie Moore, M.S., LMHP
• Latikka Moore
• Logan Moore
• Madison Doran Moore
• Marva Jean Moore
• Miranda Moore

• Mental Health Counselor in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Mental Health Counselor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2019; 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.