Individual provider Active NPI

Donna Maurine Moore, MS

  • Marriage & Family Therapist
  • Kingsburg, CA
National Provider Identifier
1922169655
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT28198 Issued in CA
Practice address
1340 Sierra Street
Suite 300
Kingsburg, CA 93631
Phone
(559) 392-7719
NPI assigned
Dec 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC28198 CA
Marriage & Family Therapist 106H00000X LMFT28198 CA Primary

Addresses

Primary practice location

1340 Sierra Street
Suite 300
Kingsburg, CA 93631

Mailing address

PO Box 231
Kingsburg, CA 93631-0231
Phone (559) 392-7719

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20251001004210 CA Practitioner - Marriage and Family Therapist 7517463243 Practice locations: Kingsburg, CA

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1340 Sierra St
Suite 300
Kingsburg, CA 93631-1547
Phone (559) 392-7719

PO Box
Suite 231
Kingsburg, CA 93631

PO Box
Suite 231
Kingsburg, CA 93631-0231

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LMFT28198CAMDMarriage & Family Therapist
MFC28198CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1922169655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 231",
            "city": "KINGSBURG",
            "state": "CA",
            "postal_code": "936310231",
            "telephone_number": "559-392-7719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 SIERRA STREET",
            "address_2": "SUITE 300",
            "city": "KINGSBURG",
            "state": "CA",
            "postal_code": "93631",
            "telephone_number": "559-392-7719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "DONNA",
        "middle_name": "MAURINE",
        "name_prefix": "Mrs.",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC28198",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT28198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsburg, CA

Sources for this page

Verify at the official NPI Registry.