Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

DESTINI MOORE
NPI 1437064961
Counselor - Mental Health in Fairfax, VA

Q: What is Destini Moore's NPI number?

The NPI number for Destini Moore is 1437064961. It was assigned to this individual provider in the NPPES registry on August 18, 2026.

Q: What is Destini Moore's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Destini Moore was last updated on August 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.

Active since August 18, 2026

11166 FAIRFAX BLVD STE 201, FAIRFAX, VA 22030(703) 988-4236 Get Directions Write a Review

NPPES record added: August 18, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About Destini Moore NPPES

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

DESTINI MOORE (NPI 1437064961) is an individual mental health provider in Fairfax, Virginia, licensed in Virginia (0704019395) and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1437064961

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameDESTINI MOORE

Location Address11166 FAIRFAX BLVD STE 201Fairfax, VA 22030-5017

Mailing Address10444 Steeplechase Run LnManassas, VA 20110-6929

Phone(703) 988-4236

Sole ProprietorNo

Enumeration DateAugust 18, 2026

NPPES CertifiedAugust 18, 2026

✔ NPI 1437064961 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 VA · 0704019395

11166 FAIRFAX BLVD STE 201, Fairfax, VA 22030

Open in Google Maps ↗

Other Providers at the Same Location NPPES 4

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

NEUTRAL GROUND COUNSELING GROUP

Counselor (Mental Health)

11166 FAIRFAX BLVD STE 201
FAIRFAX, VA 22030

Fairfax City (703) 988-4236

HANNAH KHAN M.ED

Counselor (Mental Health)

11166 FAIRFAX BLVD STE 201
FAIRFAX, VA 22030

Fairfax City (703) 977-4576

SALLY HARNEY LPC

Counselor

11166 FAIRFAX BLVD STE 201
FAIRFAX, VA 22030

Fairfax City (703) 988-4236

MARK WALKER

Counselor (Mental Health)

11166 FAIRFAX BLVD STE 201
FAIRFAX, VA 22030

Fairfax City (703) 988-4236

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 Destini Moore's NPI number?

The NPI number for Destini Moore is 1437064961. It was assigned to this individual provider in the NPPES registry on August 18, 2026.

Where is Destini Moore located?

Destini Moore practices at 11166 Fairfax Blvd Ste 201, Fairfax, VA 22030. The listed phone number is (703) 988-4236.

What is Destini 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 Destini Moore was last updated on August 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.