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Dr. Connie Jung Moore , PhD, LPC

Counselor - Professional β€’ Guthrie, OK

Active NPI 1902840960 Individual Practitioner Female Practitioner
Practice location in NPPES

12352 Spring Cir
Guthrie, OK 730449772

Call 4054733453 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

12352 Spring Cir

Guthrie, OK 730449772

Telephone 4054733453

NPI first issued

2006

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 Guthrie and Oklahoma

7 active clinicians are listed under Counselor - Professional with a practice address in Guthrie, OK (2,550 in Oklahoma).

Addresses are self-reported to NPPES and may be out of date.

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: 2025-09-19
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES OK 3379
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: Oklahoma State Board of Medical Licensure.
Look Up on State Board Site

Career & Practice History Timeline

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

9 Historical Events
πŸ“
Updated Practice Location March 11, 2024

Registered at 12352 SPRING CIR, GUTHRIE, OK 730449772 (Tel: 4054733453)

πŸ“
Updated Business Mailing Address March 11, 2024

Registered at 12352 SPRING CIR, GUTHRIE, OK 730449772 (Tel: 4054733453)

πŸ‘€
Provider Name / Credentials Updated March 11, 2024

Recorded as CONNIE MOORE, PHD, LPC

βœ…
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 08, 2007

Registered at 825 NW 58TH ST, OKLAHOMA CITY, OK 731185912 (Tel: 4054733453)

πŸ“
Business Mailing Address (Initial Record) July 08, 2007

Registered at 825 NW 58TH ST, OKLAHOMA CITY, OK 731185912 (Tel: 4054733453)

πŸ‘€
Provider Name / Credentials (Initial Record) July 08, 2007

Recorded as CONNIE FOX, PHD, LPC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Counselor (license number reported to NPPES: OK 3379)

🟒
Initial NPI Registration & Enumeration June 16, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1902840960
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 16, 2006
Last Update: September 19, 2025
Sole Proprietor: Yes

Mailing Address

12352 Spring Cir

Guthrie, OK 730449772

Phone: 4054733453

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.