Organization Active NPI

Receiving Moore Psychotherapy PC

  • Mental Health Counselor
  • Lincoln, NE
National Provider Identifier
1811765894
Registry record updated Dec 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
RECEIVING MOORE PSYCHOTHERAPY PC
Doing business as
Receiving Moore Psychotherapy PC
Receiving Moore Psychotherapy Type 2
Practice address
1240 N 10TH St Ste 2
Lincoln, NE 68508-1125
Phone
(402) 413-1895
Fax
(402) 347-0909
NPI assigned
Dec 19, 2023
Organization subpart
Yes
Parent organization
RECEIVING MOORE PSYCHOTHERAPYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 19, 2023

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

Authorized official

Name
Kimberly D Moore, LIMHPNPI 1487117966
Title
President/Owner/Therapist
Phone
(402) 413-1895

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1240 N 10TH St Ste 2
Lincoln, NE 68508-1125

Mailing address

6315 Aylesworth Ave
Lincoln, NE 68505-1276
Phone (402) 413-1895

Other names 2

  • Receiving Moore Psychotherapy PC Doing business as
  • Receiving Moore Psychotherapy Type 2 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Receiving Moore Psychotherapy PC2 organizations share this tax ID, including this one
Part of
Receiving Moore Psychotherapy PC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1240 N 10th St
Ste 2
Lincoln, NE 68508
Phone (402) 747-1412

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1702944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702944000000",
    "number": "1811765894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6315 AYLESWORTH AVE",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685051276",
            "telephone_number": "402-413-1895",
            "fax_number": "402-347-0909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 N 10TH ST STE 2",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685081125",
            "telephone_number": "402-413-1895",
            "fax_number": "402-347-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECEIVING MOORE PSYCHOTHERAPY PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RECEIVING MOORE PSYCHOTHERAPY",
        "enumeration_date": "2023-12-19",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT/OWNER/THERAPIST",
        "authorized_official_telephone_number": "402-413-1895",
        "authorized_official_credential": "LIMHP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Receiving Moore Psychotherapy PC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Receiving Moore Psychotherapy Type 2",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; 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.