Roy F Moore Jr.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

290414 Issued in KY

Practice address

121 E 2ND St Ste 401
Owensboro, KY 42303-4125

Phone

(559) 930-8768

NPI assigned

Sep 4, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

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

Specialty

Marriage and Family Therapist

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Truenorth Treatment Center LLCGroup PAC ID 5294068813, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Truenorth Treatment Center, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Owensboro, KY
  • NPI 1871067611

  KY

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1567555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1821647710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 E 2ND ST STE 401",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423034125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 E 2ND ST STE 401",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423034125",
            "telephone_number": "559-930-8768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "ROY",
        "middle_name": "F",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-04",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KY",
            "license": "290414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea B. Moore, M.D.
• Danya M Moore, PAC
• Lisa C Z Moore, LCSW
• Paula Anne Moore
• Robert Keith Moore, MD
• Stephen Lee Moore, D.O.
• Terry Moore
• Brandi Moorman, ED.S.
• Rebecca Lynn Moorman, LPCC
• Ashley Elizabeth Moran, APRN

• Marriage & Family Therapist in Owensboro, KY
• Providers in Owensboro, KY by specialty
• Marriage & Family Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.