Kandy Lea Moore, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

C.2305353 Issued in OH

Practice address

192 Chestnut Ridge Rd
West Union, OH 45693-9584

Phone

(937) 544-5581

Fax

(740) 353-1662

NPI assigned

Feb 16, 2022

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

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kandy.moore.p1@direct.shawneemhc.nextgenshare.com
• FHIR API: https://api.qualifacts.org/api/fhir/frscounseling/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• FRS Counseling

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hillsboro, OH
  • NPI 1417917063
  NPD (past)
• FRS Counseling

  • Community/Behavioral Health Agency
  • Hillsboro, OH
  • NPI 1891055133
  NPD (past)

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

{
    "created_epoch": "1644969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1538814751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 WASHINGTON ST",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456623944",
            "telephone_number": "740-354-7702",
            "fax_number": "740-353-1662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "192 CHESTNUT RIDGE RD",
            "city": "WEST UNION",
            "state": "OH",
            "postal_code": "456939584",
            "telephone_number": "937-544-5581",
            "fax_number": "740-353-1662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "KANDY",
        "middle_name": "LEA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-16",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C.2305353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katrina J Miller, LSW
• Valeria Miller, CDCA
• Deeann Nicole Mock, LPC
• Ryan Lee Moehlman
• Heather Moffett, RN
• Crystal Morris
• Rylee Dayle Murphy
• Angela C Musser, ADULT COMPANION
• Sandra Gail Musser, CDCA
• Nichole Nace

• Professional Counselor in West Union, OH
• Providers in West Union, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; 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.