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KALISA MOORE
NPI 1295478717
Counselor - Mental Health in New York, NY

Active since April 14, 2022
1199 PARK AVE, NEW YORK, NY 10128(212) 828-7473 Get Directions Write a Review

NPPES record last updated: June 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 11, 2025, Apr 14, 2022 (2 updates tracked since 2022).

About Kalisa Moore NPPES

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

KALISA MOORE (NPI 1295478717) is an individual mental health provider in New York, New York, licensed in New York (P108510) and active in the NPI registry since April 2022.

NPPES Registry Identity

NPI1295478717
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKALISA MOORE
Location Address1199 PARK AVENew York, NY 10128-1711
Mailing Address1199 Park AveNew York, NY 10128-1711
Phone(212) 828-7473
Sole ProprietorNo
Enumeration DateApril 14, 2022
Last NPPES UpdateJune 11, 20252 updates tracked since enumeration
NPPES CertifiedJune 11, 2025
✔ NPI 1295478717 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 NY · P108510
1199 PARK AVE, New York, NY 10128
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MAXINE L. GANN PSYCHOLOGIST, P.C.
Psychologist
1199 PARK AVE, SUITE 1K
NEW YORK, NY 10128
New York County (212) 860-3368
DR. DONALD ARTHUR BERGMAN M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1199 PARK AVE, SUITE 1F
NEW YORK, NY 10128
New York County (212) 876-7333
LEONARD M. MATTES M.D., P.C.
Internal Medicine (Cardiovascular Disease)
1199 PARK AVE, SUITE 1F
NEW YORK, NY 10128
New York County (212) 876-7045
VICTORIYA SLAVICH PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
1199 PARK AVE
NEW YORK, NY 10128
New York County (212) 828-7473
IRINA NEDELCHEV
Counselor (Mental Health)
1199 PARK AVE
NEW YORK, NY 10128
New York County (212) 828-7473
MATTHEW TILTON
Counselor (Mental Health)
1199 PARK AVE
NEW YORK, NY 10128
New York County (212) 828-7473
STEPHANIE GOMEZ LMHC, NCC
Counselor (Mental Health)
1199 PARK AVE
NEW YORK, NY 10128
New York County (212) 828-7473
BRIANNA FOPPIANO
Counselor (Mental Health)
1199 PARK AVE
NEW YORK, NY 10128
New York County (516) 732-6773

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 Kalisa Moore's NPI number?

The NPI number for Kalisa Moore is 1295478717. It was assigned to this individual provider in the NPPES registry on April 14, 2022.

Where is Kalisa Moore located?

Kalisa Moore practices at 1199 Park Ave, New York, NY 10128. The listed phone number is (212) 828-7473.

What is Kalisa 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 Kalisa Moore was last updated on June 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.