Kathleen Ann Moore, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

13112 Issued in TX

Practice address

909 Pecan St
Bastrop, TX 78602-3819

Phone

(512) 360-8488

Fax

(956) 253-2505

NPI assigned

Nov 15, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

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

Mental Health Counselor

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Brainwell Psychiatry and Mental Health PLLCGroup PAC ID 5698113983, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kathleen.moore.p1@direct.lscctx.nextgenshare.com

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.

• Brainwell Psychiatry and Mental Health PLLC

  • Psychiatry Physician
  • Bastrop, TX
  • NPI 1164173266
  Medicare reassignment Care Compare group NPD
• R.E.F. Counseling

  • Professional Counselor
  • Pflugerville, TX
  • NPI 1679352751
  Medicare reassignment NPD
• Lifebulb LLC

  • Mental Health Counselor
  • Toms River, NJ
  • NPI 1699491464

  TX

  Medicare reassignment NPD
• Thrive Counseling LLC

  dba Thriveworks

  • Mental Health Counselor
  • Lynchburg, VA
  • NPI 1215181300
  NPD (past)

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1972676559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 PECAN ST",
            "city": "BASTROP",
            "state": "TX",
            "postal_code": "786023819",
            "telephone_number": "512-360-8488",
            "fax_number": "956-253-2505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 PECAN ST",
            "city": "BASTROP",
            "state": "TX",
            "postal_code": "786023819",
            "telephone_number": "512-360-8488",
            "fax_number": "956-253-2505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "KATHLEEN",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "13112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "13112",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0955437-04",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mix Family Chiropractic Inc (adjust)
• Laura Michelle Mix, D.C.
• Matthew Morgan Mix, D.C.
• Edgar L Molina, MD
• Mary Lee Brown Moody
• Jessica Dawn Moreno, AGACNP
• MSC Wound Care PLLC
• Layla Mubasher, LM
• Claudia Alicia Munoz
• Margaret Ellyn Musselman, APRN-BC

• Professional Counselor in Bastrop, TX
• Providers in Bastrop, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; 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.