Krystal Brittany Moore, LPC-CANDIDATE

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPCCANDIDATE13623 Issued in OK

Practice address

6216 S Lewis Ave Ste 180
Tulsa, OK 74136-1077

Phone

(918) 268-3690

NPI assigned

Aug 31, 2026

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

Other names 1

• Krystal Brittany Northup Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1788134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1962310045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6216 S LEWIS AVE STE 180",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741361077",
            "telephone_number": "918-268-3690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6216 S LEWIS AVE STE 180",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741361077",
            "telephone_number": "918-268-3690"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8555 N 117th East Ave Ste 103",
            "address_purpose": "LOCATION",
            "city": "Owasso",
            "state": "OK",
            "postal_code": "740552192",
            "country_code": "US",
            "telephone_number": "918-268-3690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "KRYSTAL",
        "middle_name": "BRITTANY",
        "name_prefix": "Mrs.",
        "credential": "LPC-CANDIDATE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-31",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "LPCCANDIDATE13623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRYSTAL",
            "last_name": "NORTHUP",
            "middle_name": "BRITTANY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kathryn Moore, M.S., CCC-SLP
• Katie A Moore
• Katrina Ann Moore, LPN
• Kenneth Jerald Moore, PHD LCSW
• Kera Lynn Moore
• Lauren Jennette Moore, D.O.
• Leslie Ann Moore
• Marissa Opal Moore, LPC
• Melandy Moore, M.S.
• Melissa L Moore, DPT

• Mental Health Counselor in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Mental Health Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.