Active NPI
Brittanni Koryn Moore, LPC,MA,BA
- Professional Counselor
- Stratford, CT
National Provider Identifier
1982956181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2716
- Practice address
- 3095 Main St
Stratford, CT 06614-4847 - Phone
- (475) 208-1359
- NPI assigned
- Oct 11, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2716 | CT | Primary |
Addresses
Primary practice location
3095 Main St
Stratford, CT 06614-4847
Mailing address
141 E Main St
4TH Floor Administration
Waterbury, CT 06702-2310
Phone (203) 574-9000
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Other | CT | AETNA BEHAVIORAL HEALTH |
| PENDING | Other | CT | CIGNA BEHAVIORAL HEALTH |
| PENDING | Other | CT | OPTUM BEHAVIORAL HEALTH |
| PENDING | Medicaid | CT | |
| PENDING | Other | CT | MHN MANAGED HEALTH NETWORK |
| PENDING | Other | CAQH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor of Arts, Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elephant on the Couch | Current | Accepting new patients |
Locations
3095 Main St
Stratford, CT 06614
Phone (475) 208-1359
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Stratford, CT
- NPI 1700550803
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756425600000",
"number": "1982956181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "141 E MAIN ST",
"address_2": "4TH FLOOR ADMINISTRATION",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067022310",
"telephone_number": "203-574-9000",
"fax_number": "203-574-9006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3095 MAIN ST",
"city": "STRATFORD",
"state": "CT",
"postal_code": "066144847",
"telephone_number": "475-208-1359"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "BRITTANNI",
"middle_name": "KORYN",
"credential": "LPC,MA,BA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-11",
"last_updated": "2025-08-29",
"certification_date": "2025-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CT",
"license": "2716",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA BEHAVIORAL HEALTH",
"identifier": "PENDING",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA BEHAVIORAL HEALTH",
"identifier": "PENDING",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTUM BEHAVIORAL HEALTH",
"identifier": "PENDING",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN MANAGED HEALTH NETWORK",
"identifier": "PENDING",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "PENDING",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stratford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.