Katelyn Moore

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

12248 Issued in OK

Practice address

17939 N Pennsylvania Ave Unit B
Edmond, OK 73012-9001

Phone

(405) 655-5232

NPI assigned

Mar 19, 2026

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Katie Moore Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1773878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773878400000",
    "number": "1487502944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17939 N PENNSYLVANIA AVE UNIT B",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730129001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17939 N PENNSYLVANIA AVE UNIT B",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730129001",
            "telephone_number": "405-655-5232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "KATELYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-03-19",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "12248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "MOORE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Ida Moore, LPC
• Jennifer Moore, CCC-SLP
• Jennifer Julie Moore, OD
• Jessica Moore
• Jordyn Janae Moore
• Lou Ann Moore, LPC, MED, NCC, NCSC
• Patricia Anne Moore, LPC
• Tiffanie Moore, NCSP, BCBA
• Vernon L Moore Jr.
• Whitney Louise Moore

• Professional Counselor in Edmond, OK
• Providers in Edmond, OK by specialty
• Professional Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2026; 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.