Kathy J Mooney, LPC, LCDC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

63639 Issued in TX

Practice address

3502 77TH Dr
Lubbock, TX 79423-1214

Phone

(806) 317-8406

Fax

(806) 723-6411

NPI assigned

Jul 18, 2008

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

State licenses

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

{
    "created_epoch": "1216339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234224000000",
    "number": "1508021585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 9TH ST",
            "city": "WOLFFORTH",
            "state": "TX",
            "postal_code": "793822854",
            "telephone_number": "806-317-8406",
            "fax_number": "806-723-6411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3502 77TH DR",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794231214",
            "telephone_number": "806-317-8406",
            "fax_number": "806-723-6411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOONEY",
        "first_name": "KATHY",
        "middle_name": "J",
        "credential": "LPC, LCDC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-18",
        "last_updated": "2009-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "7551",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "63639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beverly Dell Montgomery, LCDC-I
• Carrie Elizabeth Montgomery, FNP-C
• James Montgomery, M.D.
• Lyndsey Dawn Montgomery, FNP-C
• Rachael Montgomery, LPC
• Moore & Schneider, L.L.P.
• Moore Psychotherapy, PLLC
• Allison Moore, M.S. CCC/SLP
• Alyssa Anne Moore, MS SLP
• Amanda Moore

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2009; 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.