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Krissa L Moore , MS

Counselor - Professional β€’ Newark, DE

Active NPI 1013554054 Individual Practitioner Female Practitioner
Practice location in NPPES

23 Deasy Dr
Newark, DE 197022750

Call 8563974628 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

23 Deasy Dr

Newark, DE 197022750

Telephone 8563974628

NPI first issued

2019

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Newark and Delaware

46 active clinicians are listed under Counselor - Professional with a practice address in Newark, DE (278 in Delaware).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Newark

10.9% of these 46 clinicians have the CMS telehealth indicator.

15.2% of these 46 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-12-18
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES DE PC-0011189
Counselor - Professional

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES NJ 37PC00702400
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Delaware State Medical Licensing Board.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

12 Historical Events
πŸ“
Updated Practice Location December 18, 2024

Registered at 23 DEASY DR, NEWARK, DE 197022750 (Tel: 8563974628)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 18, 2024

Counselor (license number reported to NPPES: NJ 37PC00702400)

πŸ“
Updated Practice Location May 05, 2023

Registered at 33 DEASY DR, NEWARK, DE 197022750 (Tel: 8563974628)

πŸ“
Updated Business Mailing Address May 05, 2023

Registered at PO BOX 173, BEAR, DE 197010173 (Tel: 8563974628)

πŸ“
Updated Business Mailing Address November 05, 2021

Registered at 9210A YORK ST, FORT DRUM, NY 136033003 (Tel: 3154050618)

πŸ‘€
Provider Name / Credentials Updated November 05, 2021

Recorded as KRISSA MOORE, MS

βœ…
NPI Profile Active December 10, 2019

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) December 10, 2019

Registered at 1076 ROUTE 47 S, RIO GRANDE, NJ 082421608 (Tel: 6097416363)

πŸ“
Business Mailing Address (Initial Record) December 10, 2019

Registered at 7 BENTZ AVE, VILLAS, NJ 082512202 (Tel: 3154050618)

πŸ‘€
Provider Name / Credentials (Initial Record) December 10, 2019

Recorded as KRISSA COOK, MS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 10, 2019

Counselor (license number reported to NPPES: NJ 37PC00702400)

🟒
Initial NPI Registration & Enumeration December 10, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1013554054
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 10, 2019
Last Update: December 18, 2024
Sole Proprietor: Yes

Mailing Address

Po Box 173

Bear, DE 197010173

Phone: 8563974628

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.