Christopher Moore, LPC-ASSOCIATE

Primary specialty

CounselorTaxonomy code 101Y00000X

License

89400 Issued in TX

Practice address

1540 Southtown Dr Ste 106
Granbury, TX 76048-2667

Phone

(855) 579-5323

Fax

(855) 579-5323

NPI assigned

Nov 2, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Supportive Care LLC

  • Clinical Psychologist
  • Garland, TX
  • NPI 1477895043
  Medicare reassignment NPD
• New Leaf Services, LLC

  • Professional Counselor
  • Granbury, TX
  • NPI 1497117980
  NPD

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

{
    "created_epoch": "1667347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1992412530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 121835",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760127835",
            "telephone_number": "855-579-5323",
            "fax_number": "855-579-5323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 SOUTHTOWN DR STE 106",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760482667",
            "telephone_number": "855-579-5323",
            "fax_number": "855-579-5323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "CHRISTOPHER",
        "credential": "LPC-ASSOCIATE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-02",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "81522",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "89400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.newleafservicesllc.com",
            "affiliation": "N",
            "address_1": "1540 Southtown Dr Ste 106",
            "city": "Granbury",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760482667",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Thomas Molton II, PA-C
• Denise Michelle Moltzan, RN, CDCES
• Adrienne Rhodes Montgomery, DDS
• Jillian Kelcie Moody, NP-C
• Taylor Mooney, LOTA
• George Henry Moore, M.D.
• Melissa A Moore, M.A.CCC-SLP
• Hayley Morgan
• Joshua David Morrison, LCDC, CCS
• Linda Renee Morton, LVN

• Counselor in Granbury, TX
• Providers in Granbury, TX by specialty
• Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.