Individual provider Active NPI

Sheryl Moore, LPC

  • Professional Counselor
  • Corp Christi, TX
National Provider Identifier
1770981706
Registry record updated Dec 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
69050 Issued in TX
Practice address
2530 Tierra Poniente
Corp Christi, TX 78415-9746
Phone
(361) 739-3417
NPI assigned
Dec 8, 2014
Last updated
Dec 8, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 69050 TX Primary

Addresses

Primary practice location

2530 Tierra Poniente
Corp Christi, TX 78415-9746

Mailing address

2530 Tierra Poniente
Corp Christi, TX 78415-9746
Phone (361) 739-3417

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240108006184 TX Practitioner - Mental Health Counselor 1759732365 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

700 Flournoy Rd
Suite 2a
Alice, TX 78332-4088
Phone (361) 664-1417

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Distinctive Counseling and Consulting PLLC CurrentSince Aug 1, 2024 Accepting new patients

Locations

4646 Corona Dr
Ste 216
Corpus Christi, TX 78411
Phone (361) 547-5541

301 Interstate Highway 30
Greenville, TX 75402
Phone (361) 547-5541

422 E Avenue B
Robstown, TX 78380
Phone (361) 547-5541

Interoperability endpoints

  • Direct secure messaging: sheryl.moore@cacost.eclinicaldirectplus.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1417996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417996800000",
    "number": "1770981706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2530 TIERRA PONIENTE",
            "city": "CORP CHRISTI",
            "state": "TX",
            "postal_code": "784159746",
            "telephone_number": "361-739-3417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530 TIERRA PONIENTE",
            "city": "CORP CHRISTI",
            "state": "TX",
            "postal_code": "784159746",
            "telephone_number": "361-739-3417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "SHERYL",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-08",
        "last_updated": "2014-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "69050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corp Christi, TX

Sources for this page

Verify at the official NPI Registry.