Organization Active NPI

Moore Counseling and Wellness, Inc.

  • Clinical Social Worker
  • Mansfield, TX
National Provider Identifier
1609234434
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MOORE COUNSELING AND WELLNESS, INC.
Practice address
601 S Main St
Mansfield, TX 76063-3112
Phone
(817) 914-2267
NPI assigned
Feb 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Authorized official

Name
Blaine Moore, LCSW-SNPI 1346388659
Title
President
Phone
(817) 914-2267

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 WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

601 S Main St
Mansfield, TX 76063-3112

Mailing address

601 S Main St
Mansfield, TX 76063-3112
Phone (817) 914-2267

National Provider Directory

National Provider Directory

Locations

3113 S University Dr
Ste 450
Fort Worth, TX 76109

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1454889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785974400000",
    "number": "1609234434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S MAIN ST",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760633112",
            "telephone_number": "817-914-2267",
            "fax_number": "817-225-2144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S MAIN ST",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760633112",
            "telephone_number": "817-914-2267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOORE COUNSELING AND WELLNESS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-08",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "BLAINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-914-2267",
        "authorized_official_credential": "LCSW-S"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; 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.