Organization Active NPI

Kristen N Moore LMSW PLLC

Doing business as Flourish Psychotherapy

  • Clinical Social Worker
  • Highland, MI
National Provider Identifier
1508643511
Registry record updated Apr 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
KRISTEN N MOORE LMSW PLLC
Doing business as
Flourish Psychotherapy
Practice address
212 W Highland Rd Ste 102
Highland, MI 48357-4504
Phone
(734) 304-0771
NPI assigned
Sep 12, 2023
Last updated
Apr 3, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2026

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

Authorized official

Name
Ms. Kristen Nicole Moore, LMSWNPI 1619345238
Title
Owner
Phone
(734) 304-0771

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

212 W Highland Rd Ste 102
Highland, MI 48357-4504

Mailing address

212 W Highland Rd
Ste 102 #1004
Highland, MI 48357
Phone (734) 304-0771

Other names 1

  • Flourish Psychotherapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240307002902 MI Part B Supplier - Clinic/Group Practice 2668818063 Receives reassigned benefits from 1 practitioner
Practice locations: Canton, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1694476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775174400000",
    "number": "1508643511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 W HIGHLAND RD",
            "address_2": "STE 102 #1004",
            "city": "HIGHLAND",
            "state": "MI",
            "postal_code": "48357",
            "telephone_number": "734-304-0771",
            "fax_number": "734-304-0772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 W HIGHLAND RD STE 102",
            "city": "HIGHLAND",
            "state": "MI",
            "postal_code": "483574504",
            "telephone_number": "734-304-0771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTEN N MOORE LMSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-12",
        "last_updated": "2026-04-03",
        "certification_date": "2026-04-03",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-304-0771",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Flourish Psychotherapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Highland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.