Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1013554054 Individual Practitioner Female Practitioner

Krissa L Moore , MS

Counselor - Professional • Newark, DE

Professional Overview & Biography Verified Profile Summary

Krissa Moore, MS is a registered healthcare professional specializing in Counselor - Professional in Newark, DE. Practice services are available at 23 DEASY DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

23 Deasy Dr

Newark, DE 197022750

Telephone 8563974628

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Newark, DE

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.2 Yrs
State Avg: 18.4 Yrs
Regional Practice Density
47 Specialists

Practicing in Newark, DE (284 Statewide)

Telehealth Adoption Rate
10.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-12-18
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License DE PC-0011189

Definition to come...

Counselor - Professional

NUCC Taxonomy Code: 101YP2500X

State License NJ 37PC00702400

Definition to come...

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
📍
Updated Practice Location December 18, 2024

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

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

Counselor (License #37PC00702400 in NJ)

📍
Updated Practice Location May 05, 2023

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

📍
Updated Business Mailing Address May 05, 2023

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

📍
Updated Business Mailing Address November 05, 2021

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

👤
Provider Name / Credentials Updated November 05, 2021

Recorded as KRISSA MOORE, MS

NPI Profile Active December 10, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location December 10, 2019

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

📍
Updated Business Mailing Address December 10, 2019

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

👤
Provider Name / Credentials Updated December 10, 2019

Recorded as KRISSA COOK, MS

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

Counselor (License #37PC00702400 in NJ)

🟢
Initial NPI Registration & Enumeration December 10, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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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

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.