Active NPI
Leo Mora Jr., PH.D, LMFT-S
- Marriage & Family Therapist
- Killeen, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 202561
- Practice address
- 2403 Bacon Ranch Rd Ste 300
Killeen, TX 76542-3380 - Phone
- (254) 791-5614
- Fax
- (651) 305-9283
- NPI assigned
- Apr 12, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | 202561 | TX | |
| Family Psychologist | 103TF0000X | |||
| Marriage & Family Therapist | 106H00000X | 202561 | TX | Primary |
Addresses
Primary practice location
2403 Bacon Ranch Rd Ste 300
Killeen, TX 76542-3380
Mailing address
2403 Bacon Ranch Rd Ste 300
Killeen, TX 76542-3380
Phone (254) 654-5872
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | www.psychselect.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2403 Bacon Ranch Rd
Suite 300
Killeen, TX 76542-3380
Phone (254) 791-5614
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Leo Mora Therapy Services PLLC | Marriage & Family Therapist | Current | Accepting new patients |
| The Shepherds New Pathways, LLC | Past | Accepting new patients | |
| The Shepherds New Pathways, LLC | Marriage & Family Therapist | Past | Accepting new patients |
Locations
2403 Bacon Ranch Rd
Ste 300
Killeen, TX 76542
Phone (254) 654-4529
400 W Jasper Dr
Ste 100B
Killeen, TX 76542
Phone (254) 913-4341
Organizations & group practices 3
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.
-
dba Journeys Counseling and Consultation
- Psychologist
- Killeen, TX
- NPI 1750935391
Marriage & Family Therapist
-
dba Pathways Group Counseling Center
- Professional Counselor
- Temple, TX
- NPI 1356779706
Marriage & Family Therapist
-
dba Pathways Group Counseling Center
- Professional Counselor
- Georgetown, TX
- NPI 1841813003
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696291200000",
"number": "1750745055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2403 BACON RANCH RD STE 300",
"city": "KILLEEN",
"state": "TX",
"postal_code": "765423380",
"telephone_number": "254-654-5872",
"fax_number": "651-305-9283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2403 BACON RANCH RD STE 300",
"city": "KILLEEN",
"state": "TX",
"postal_code": "765423380",
"telephone_number": "254-791-5614",
"fax_number": "651-305-9283"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORA",
"first_name": "LEO",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "PH.D, LMFT-S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-04-12",
"last_updated": "2023-10-03",
"certification_date": "2023-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "TX",
"license": "202561",
"primary": false
},
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TX",
"license": "202561",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "www.psychselect.com",
"affiliation": "N",
"endpointDescription": "Therapy Appointment",
"address_1": "400 W Jasper Dr Ste 100B",
"city": "Killeen",
"state": "TX",
"country_code": "US",
"postal_code": "765421322",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Killeen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.