Grace Kathleen Moore, MA, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

339 Broadway St Ste 102
Cape Girardeau, MO 63701-7321

Phone

(573) 271-2008

NPI assigned

Aug 18, 2023

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1692316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1821872185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3820 MCDONALD AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631164717",
            "telephone_number": "314-497-0918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 BROADWAY ST STE 102",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637017321",
            "telephone_number": "573-271-2008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "GRACE",
        "middle_name": "KATHLEEN",
        "credential": "MA, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-18",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Jacob Moore, M.D.
• Brianna Claire Moore
• Colleen Johnson Moore, M.D.
• Dana Marie Moore, APRN
• Donnellya Moore
• Jerri Denise Moore, MA, LPC
• Kimyatta Moore
• Melissa Moore
• Regina J Moore
• Robbin Moore, MA, PLPC

• Mental Health Counselor in Cape Girardeau, MO
• Providers in Cape Girardeau, MO by specialty
• Mental Health Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; 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.