Katelyn Moore, LAC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

201 S Rose St
Sheridan, AR 72150-2451

Phone

(870) 917-2171

Fax

(870) 917-2161

NPI assigned

Aug 11, 2022

Last updated

Jun 2, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Pneuma Counseling

  • Community/Behavioral Health Agency
  • Hensley, AR
  • NPI 1447141585
  NPD
• BHC Pinnacle Pointe Hospital

  dba The Pointe Outpatient Behavioral Health Services/The Pointe-Sheridan

  • Adolescent and Children Mental Health Clinic/Center
  • Sheridan, AR
  • NPI 1154594380
  NPD (past)
• BHC Pinnacle Pointe Hospital LLC

  dba Pinnacle Pointe Hospital

  • Psychiatric Hospital
  • Little Rock, AR
  • NPI 1912962341
  NPD (past)

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

{
    "created_epoch": "1660176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1770211369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S ROSE ST",
            "city": "SHERIDAN",
            "state": "AR",
            "postal_code": "721502451",
            "telephone_number": "870-917-2171",
            "fax_number": "870-917-2161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S ROSE ST",
            "city": "SHERIDAN",
            "state": "AR",
            "postal_code": "721502451",
            "telephone_number": "870-917-2171",
            "fax_number": "870-917-2161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12120 Duck Creek Dr",
            "address_purpose": "LOCATION",
            "city": "Hensley",
            "state": "AR",
            "postal_code": "720655706",
            "country_code": "US",
            "telephone_number": "501-765-0211",
            "fax_number": "501-765-0211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "KATELYN",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-11",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "2308009",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelli L McTigrit, LCSW
• Tabitha Mercer, QBHP
• Amanda Lynette Milholland, R.T.
• John Wesley Mitchell Jr., MD
• Lilah Moody, QBHP
• Anna Morgan, QBHP
• Lauren Morris, MHPP
• James Alvin Nichols, RN, MSN,BSN
• P C Well, PA (Power Chiropractic 3)
• Paul D Fitzgerald, DDS

• Mental Health Counselor in Sheridan, AR
• Providers in Sheridan, AR by specialty
• Mental Health Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; 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.