Active NPI
Kristen N Moore LMSW PLLC
Doing business as Flourish Psychotherapy
- Clinical Social Worker
- Highland, MI
National Provider Identifier
1508643511
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Kristen Nicole Moore, LMSW
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Clinical Social Worker
- Highland, MI
- NPI 1619345238
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.