Henrietta Louise Moore, M.ED,LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LF00001032 Issued in WA

Practice address

612 Carpenter Rd SE
Olympia, WA 98503-1383

Phone

(360) 951-7540

NPI assigned

Jan 2, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508923152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5244 DEERFIELD PARK CT NE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985162131",
            "telephone_number": "360-491-7212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 CARPENTER RD SE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985031383",
            "telephone_number": "360-951-7540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "HENRIETTA",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "M.ED,LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "LF00001032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Moore Medical Consulting, PS
• Amy E Moore, RN
• Erika J Moore, LMT
• Evelyn Marie Moore
• Hayden Lawrence Moore, PT, DPT
• Jack Moore, OD
• John A Moore
• Kaitlin Masaye Yamane Moore, D.C.
• Kathryn Moore, LMP
• Kristen Marie Moore

• Marriage & Family Therapist in Olympia, WA
• Providers in Olympia, WA by specialty
• Marriage & Family Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.