MARY KAY MOORE LPC-A
NPI 1104578830
Counselor - Mental Health in Austin, TX

Active since January 24, 2022
1504 WOOD ACRE LN, AUSTIN, TX 78733(512) 636-0888 Get Directions Write a Review

NPPES record last updated: January 24, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mary Kay Moore Lpc-a NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY KAY MOORE LPC-A (NPI 1104578830) is an individual mental health provider in Austin, Texas, licensed in Texas (87741) and active in the NPI registry since January 2022.

NPPES Registry Identity

NPI1104578830
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMARY KAY MOORECredential: LPC-A
Location Address1504 WOOD ACRE LNAustin, TX 78733-2157
Mailing Address1500 Village West Dr # 69Austin, TX 78733-1977 · (512) 636-0888
Sole ProprietorNo
Enumeration DateJanuary 24, 2022
NPPES CertifiedJanuary 24, 2022
NPI 1104578830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in TX · 87741
1504 WOOD ACRE LN, Austin, TX 78733

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Moore's NPI number?

The NPI number for Mary Moore is 1104578830. It was assigned to this individual provider in the NPPES registry on January 24, 2022.

Where is Mary Moore located?

Mary Moore practices at 1504 Wood Acre Ln, Austin, TX 78733. The listed phone number is (512) 636-0888.

What is Mary Moore's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Mary Moore was last updated on January 24, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.