Gregory D Moore, LMFTA

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MG60231748 Issued in WA

Practice address

33507 9TH Ave S
Suite C - 2
Federal Way, WA 98003-6397

Phone

(253) 205-5966

NPI assigned

Aug 5, 2011

Sex

Male

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

State licenses

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

{
    "created_epoch": "1312502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312502400000",
    "number": "1831478031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33507 9TH AVE S",
            "address_2": "SUITE C - 2",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036397",
            "telephone_number": "253-205-5966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33507 9TH AVE S",
            "address_2": "SUITE C - 2",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036397",
            "telephone_number": "253-205-5966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "GREGORY",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "LMFTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-05",
        "last_updated": "2011-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "MG60231748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rayn Moonflower, L.M.P.
• Rose M Moor, OT
• Mikaely Erin Moore Fujita, D.D.S.
• Chrystal G Moore, ARNP
• Don S Moore, D.D.S.
• Kaitlin Sandra Moore
• Kathleen D Moore, LMFTA
• Kelsey Grace Moore, MSN, ARNP, FNP-C
• Michael E Moore, LMP
• Ryan Patrick Moore, PA-C

• Marriage & Family Therapist in Federal Way, WA
• Providers in Federal Way, WA by specialty
• Marriage & Family Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2011; 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.