Conny Jan Moore, M.S., L.P.C.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0341 Issued in AZ

Practice address

408 N Kendrick St
Flagstaff Child and Family Counseling Center Suite 3
Flagstaff, AZ 86001-1582

Phone

(928) 774-6364

Fax

(928) 556-0504

NPI assigned

Apr 28, 2006

Last updated

Jul 13, 2026By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Flagstaff Child & Family Counseling Center PLLC

  • Psychologist
  • Flagstaff, AZ
  • NPI 1033311527
  NPD (past)

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1881651032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2224 N LANTERN LN",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860011133",
            "telephone_number": "928-774-6824",
            "fax_number": "928-556-0504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 N KENDRICK ST",
            "address_2": "FLAGSTAFF CHILD AND FAMILY COUNSELING CENTER SUITE 3",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860011582",
            "telephone_number": "928-774-6364",
            "fax_number": "928-556-0504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "CONNY",
        "middle_name": "JAN",
        "name_prefix": "Mrs.",
        "credential": "M.S., L.P.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-28",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "0341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lara S Monsman, PHARM D
• John Thomas Montfort, DDS
• Abigail Dorothy Moore, DO
• Caroline Moore
• Chad A Moore, P.T.
• Joan Marie Moore, PMHNP
• Laura Anne Moore
• Patrice Moore, MD
• Susan Moore, RN
• Terry William Moore, PH.D.

• Professional Counselor in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Professional Counselor in Arizona

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