Kevin P. Moore, LCMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

338 Issued in KS

Practice address

7200 W 13TH St N Ste 9
Wichita, KS 67212-2968

Phone

(316) 721-8118

Fax

(316) 721-8139

NPI assigned

May 3, 2007

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

Enrolled in KS

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, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Axiom Counseling and Therapy ServicesGroup PAC ID 7618408816, 6 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.

• Axiom Counseling & Therapy Services

  • Marriage & Family Therapist
  • Wichita, KS
  • NPI 1639526536
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891917324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 W 13TH ST N STE 9",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672122968",
            "telephone_number": "316-721-8118",
            "fax_number": "316-721-8139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 W 13TH ST N STE 9",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672122968",
            "telephone_number": "316-721-8118",
            "fax_number": "316-721-8139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "KEVIN",
        "middle_name": "P.",
        "name_prefix": "Mr.",
        "credential": "LCMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KS",
            "license": "338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Allen Moore, MD
• Justin B Moore, MD
• Karen A Moore, PT
• Kelly J Moore, LSCSW, LAC
• Kelly Sue Moore, DPT
• Kynnedy Janeece Moore
• Laron Moore, LPC
• Lizette Denise Moore, LPT
• Luke Avery Moore, DC
• Mark Douglas Moore, O. D.

• Marriage & Family Therapist in Wichita, KS
• Providers in Wichita, KS by specialty
• Marriage & Family Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.