MICHELLE MOORE – Marriage & Family Therapist, NPI 1700423969

MICHELLE MOORE is a healthcare provider. based in Killeen, Texas. specializing in MARRIAGE AND FAMILY THERAPIST. They hold a License No. 203080 (TX). The NPI Number for MICHELLE MOORE is 1700423969

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
MICHELLE MOORE
NPI
1700423969
Phone
(254) 526-4146
Address
100 E AVENUE A
Enumeration Date
6 December 2019
Last Update Date
6 December 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2016 (10 years ago)
PAC ID
5193175388
Group Practice PAC ID
1658341359
Professional Enrollment ID
I20250313003458
Address ID
TX765014726Te304XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:6State licenses:1Digital endpointsOther names

259 MARRIAGE AND FAMILY THERAPIST in TX

Provider Addresses for MICHELLE MOORE

  • 100 E AVENUE A

    KILLEEN, TX 765414763

    Phone: (254) 526-4146

    Type: Location

  • 1120 SIERRA VISTA DR

    GATESVILLE, TX 765283986

    Phone: (254) 844-3207

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-03-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240101000016IMental Health CounselorTXTBD
I20250313003458IMarriage And Family TherapistTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 76541)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1658341359View full group profile
NameSpecialtyState
Mental Health CounselorTX
Nurse PractitionerTX
Clinical Social WorkerTX
P S Y C H I A T R YTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
-TX
Clinical Social WorkerTX

Reviews

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Frequently asked questions

What is the 10-digit NPI for MICHELLE MOORE?
MICHELLE MOORE — NPI 1700423969 — is the standard way to identify this listing.
Does CMS list MICHELLE MOORE as active?
Yes — MICHELLE MOORE is active in the NPI listing used on this page.
What is MICHELLE MOORE's specialty?
The listing groups MICHELLE MOORE with Marriage & Family Therapist. Clinical services aligned with this taxonomy classification.
What area does MICHELLE MOORE serve?
MICHELLE MOORE's listing highlights Killeen, Texas; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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