KERRY MOORE LPC NPI 1568332310

NPI Information

  • NPI: 1568332310
  • Provider Name: KERRY MOORE, LPC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • Address: 4101 TEXAS AVE
    BRYAN, TX
    ZIP 77802
  • Phone: (936) 446-9146

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NPI Details

Kerry Moore, LPC is a professional counselor in Bryan, TX. Kerry Moore, LPC NPI is 1568332310. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4101 TEXAS AVE
BRYAN, TX
ZIP 77802
Phone: (936) 446-9146

The enumeration date for this NPI number is 11/7/2025 and was last updated on 11/7/2025.

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
1101YP2500XCounselorProfessional88836TEXASYes

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

NPI Synchronization or Removal

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