MRS. KATHLEEN ANN MOORE LPC
NPI 1972676559
Counselor - Professional in Bastrop, TX

Active since November 15, 2006PECOS EnrolledAccepts Medicare Assignment
909 PECAN ST, BASTROP, TX 78602(512) 360-8488(956) 253-2505 Get Directions Write a Review

NPPES record last updated: April 6, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 6, 2026, Mar 9, 2021, Jun 8, 2017 and 1 more (4 updates tracked since 2017).

About Mrs. Kathleen Ann Moore Lpc NPPES

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

MRS. KATHLEEN ANN MOORE LPC (NPI 1972676559) is an individual professional provider in Bastrop, Texas, licensed in Texas (13112) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1986).

NPPES Registry Identity

NPI1972676559
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. KATHLEEN ANN MOORECredential: LPC
Location Address909 PECAN STBastrop, TX 78602-3819
Mailing Address909 Pecan StBastrop, TX 78602-3819 · (512) 360-8488 · Fax (956) 253-2505
Fax(956) 253-2505
Sole ProprietorYes
Medical School CMSOtherGraduated 1986
Enumeration DateNovember 15, 2006
Last NPPES UpdateApril 6, 20264 updates tracked since enumeration
NPPES CertifiedApril 6, 2026
✔ NPI 1972676559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in TX · 13112
909 PECAN ST, Bastrop, TX 78602

Other Identifiers 2

Other13112TX · License
Medicaid0955437-04TX

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Kathleen Ann Moore Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9436595428
PECOS Enrollment IDI20240313000916
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Kathleen Moore reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatry
909 PECAN ST
Bastrop, TX 78602
  • Reassigned Medicare billing, Texas enrollment
  • 2 clinicians in this Medicare group
Professional
301 S HEATHERWILDE BLVD # 2557
Pflugerville, TX 78660
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Ref Counseling
  • 2 clinicians in this Medicare group
1,470 mi
Mental Health
505 MAIN ST
Toms River, NJ 08753
  • Reassigned Medicare billing, Texas enrollment
  • 10 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 16

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

Physician Assistant
909 PECAN ST
BASTROP, TX 78602
Psychiatry & Neurology (Psychiatry)
909 PECAN ST
BASTROP, TX 78602
Nurse Practitioner (Family)
909 PECAN ST
BASTROP, TX 78602
Psychologist (Clinical)
909 PECAN ST
BASTROP, TX 78602
Counselor (Professional)
909 PECAN ST
BASTROP, TX 78602
Psychiatry & Neurology (Psychiatry)
909 PECAN ST
BASTROP, TX 78602
Physician Assistant
909 PECAN ST
BASTROP, TX 78602
Counselor (Addiction (Substance Use Disorder))
909 PECAN ST
BASTROP, TX 78602

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 Kathleen Moore's NPI number?

The NPI number for Kathleen Moore is 1972676559. It was assigned to this individual provider in the NPPES registry on November 15, 2006.

Where is Kathleen Moore located?

Kathleen Moore practices at 909 Pecan St, Bastrop, TX 78602. The listed phone number is (512) 360-8488.

What is Kathleen Moore's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Kathleen Moore enrolled in Medicare?

Yes. Kathleen Moore is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Kathleen Moore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Moore reassigns Medicare benefits to 3 organizations: Brainwell Psychiatry And Mental Health PLLC (Bastrop, TX), R.E.F. Counseling (Pflugerville, TX) and Lifebulb LLC (Toms River, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kathleen Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kathleen Moore accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Cigna Healthcare, Oscar Health and Oscar Insurance Company and 1 other insurer list Kathleen Moore as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kathleen Moore was last updated on April 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.