MS. CAROLYN SMITH MOORMAN LPC NPI 1285149948

NPI Information

  • NPI: 1285149948
  • Provider Name: MS. CAROLYN SMITH MOORMAN, LPC
  • Classification: Counselor - 101Y00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5713 VICKERY BLVD
    DALLAS, TX
    ZIP 75206
  • Phone: (214) 215-1517

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NPI Details

MS. Carolyn Smith Moorman, LPC is a counselor in Dallas, TX with 13 years of experience. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. MS. Carolyn Smith Moorman, LPC NPI is 1285149948. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5713 VICKERY BLVD
DALLAS, TX
ZIP 75206-333
Phone: (214) 215-1517

The NPI 1285149948 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 12/4/2017 and was last updated on 12/4/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)66113TEXASNo
2101YM0800XCounselorMental Health66113TEXASNo
3101YP2500XCounselorProfessional66113TEXASNo
4101Y00000XCounselor66113TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
114078740OTHERTEXASCAQH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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