Kristen Moore, ED.D, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH60522984 Issued in WA

Practice address

719 Sleater Kinney Rd SE Ste 212
Lacey, WA 98503-1138

Phone

(360) 509-0724

Fax

(360) 584-9048

NPI assigned

Apr 15, 2015

Last updated

Jul 23, 2024By 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 1

Addresses

Other names 1

• Dr. Kristen Bradley Former name

Medicare fee-for-service enrollment

Enrolled in WA, MO2 enrollments

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 2

Specialty

Mental Health Counselor

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Beyond the Storm Behavioral Health LLCGroup PAC ID 9931549649, 4 clinicians

Practice addresses (Care Compare)

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.

• Key Counseling PLLC

  • Mental Health Counselor
  • Lacey, WA
  • NPI 1144059395
  Medicare reassignment NPD Authorized official
• Beyond the Storm Behavioral Health, LLC

  • Mental Health Counselor
  • Blue Springs, MO
  • NPI 1396422234
  Medicare reassignment Care Compare group
• Olympic Counseling Group

  • Professional Counselor
  • Lacey, WA
  • NPI 1649749458
  Medicare reassignment NPD
• Front Street Clinic Inc

  • Psychologist
  • Poulsbo, WA
  • NPI 1457532913
  NPD (past)
• Move in Faith Counseling Services, PLLC

  dba Move In Faith Counseling

  • Mental Health Counselor
  • Midlothian, VA
  • NPI 1063963239
  NPD (past)

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

{
    "created_epoch": "1429056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1780070888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 W HARVARD AVE",
            "city": "SHELTON",
            "state": "WA",
            "postal_code": "985843747",
            "telephone_number": "360-509-0724",
            "fax_number": "360-584-9048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 SLEATER KINNEY RD SE STE 212",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985031138",
            "telephone_number": "360-509-0724",
            "fax_number": "360-584-9048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "KRISTEN",
        "name_prefix": "Dr.",
        "credential": "ED.D, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-15",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60522984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "BRADLEY",
            "prefix": "DR.",
            "credential": "EDD, LMHC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rachel Montgomery, ATC
• Lindsay R Montoya, APRN-PMHNP
• Michelle Marie Moody, L.M.P.
• Moonlit Cedar Counseling PLLC
• Jeanmarie Moore
• Justin Matthew Morales
• Danielle Moran, PHARMD
• Yuki Mori, ARNP
• Melissa Nicole Morini, OTR/L
• Jodi Morris

• Mental Health Counselor in Lacey, WA
• Providers in Lacey, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; 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.

Verify at the official NPI Registry.