Jacqueline Blair Moore, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

73741 Issued in TX

Practice address

14651 Dallas Pkwy Ste 134
Dallas, TX 75254-8904

Phone

(214) 566-3698

NPI assigned

Aug 30, 2019

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

Other names 1

• Mrs. Jackie Blair Moore Professional name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1567123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567123200000",
    "number": "1689222754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14651 DALLAS PKWY STE 134",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752548904",
            "telephone_number": "214-566-3698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14651 DALLAS PKWY STE 134",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752548904",
            "telephone_number": "214-566-3698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "JACQUELINE",
        "middle_name": "BLAIR",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-30",
        "last_updated": "2019-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "73741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "JackieMooreCounseling.com",
            "affiliation": "N",
            "address_1": "14651 Dallas Pkwy Ste 134",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752548904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JACKIE",
            "last_name": "MOORE",
            "middle_name": "BLAIR",
            "prefix": "MRS.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Erika Moore
• Hayden Moore, PT
• Howard A Moore, M.D., ASSOCIATED
• J. Kathleen Moore, MD
• Jacey Lynn Moore, B.A., SLPA
• James Adam Moore, MD
• James C Moore, CRNA
• Jasmine Danae Moore
• Jasmine N Moore, LMFT
• Jennifer Moore

• Professional Counselor in Dallas, TX
• Providers in Dallas, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2019; 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.