Active NPI
Neecie Moore, PHD, LPC, LMFT
- Counselor
- Carrollton, TX
National Provider Identifier
1730401712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 09655
- Practice address
- 2435 E Hebron Pkwy
Carrollton, TX 75010-4427 - Phone
- (214) 739-6644
- Fax
- (214) 231-2957
- NPI assigned
- Feb 18, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 09655 | TX | Primary |
| Marriage & Family Therapist | 106H00000X | 003183-002996 | TX |
Addresses
Primary practice location
2435 E Hebron Pkwy
Carrollton, TX 75010-4427
Mailing address
4516 Lovers LN
Suite 179
Dallas, TX 75225-6925
Phone (214) 739-6644
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 09655 | TX | MD | Counselor |
| 003183-002996 | TX | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266451200000",
"number": "1730401712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4516 LOVERS LN",
"address_2": "SUITE 179",
"city": "DALLAS",
"state": "TX",
"postal_code": "752256925",
"telephone_number": "214-739-6644",
"fax_number": "214-231-2957"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2435 E HEBRON PKWY",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750104427",
"telephone_number": "214-739-6644",
"fax_number": "214-231-2957"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "NEECIE",
"name_prefix": "Dr.",
"credential": "PHD, LPC, LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-02-18",
"last_updated": "2010-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TX",
"license": "09655",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TX",
"license": "003183-002996",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carrollton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.