Ivana Moore, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

24200 Via Mazzini Way Ste 250
Richmond, TX 77406-3439

Phone

(832) 906-8743

NPI assigned

Mar 3, 2025

Last updated

Mar 25, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Bellaire Ellie Clinic PC

  dba Ellie Mental Health

  • Mental Health Counselor
  • Bellaire, TX
  • NPI 1487372132
  Medicare reassignment NPD
• Dua Health Group

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Austin, TX
  • NPI 1932901881
  Medicare reassignment

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

{
    "created_epoch": "1740960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1770380255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24200 VIA MAZZINI WAY STE 250",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774063439",
            "telephone_number": "832-906-8743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24200 VIA MAZZINI WAY STE 250",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774063439",
            "telephone_number": "832-906-8743"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24200 Via Mazzini Way Ste 250",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "TX",
            "postal_code": "774063439",
            "country_code": "US",
            "telephone_number": "832-906-8743",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "IVANA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-03",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "87652",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raysha Monel, DNP, FNP-C
• Jesus Angel Monjaraz, BEHAVIOR THERAPIST
• Lindsay Montalbano, RD, LD
• Daisy Montano, DDS
• Lillian Montez
• Judy Golden Moore
• Linda Moore, LCDC
• Sabastan Moore II, M.ED., LPC-INTERN
• Takisha Nicole Moore, PMRC, MHPS
• Fizza Moosavi, DDS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.