Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1376816819 Individual Practitioner Female Practitioner

Katherine Renee Moore , LPCC-S

Counselor - Professional • Middletown, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Katherine Moore, LPCC-S is a certified Counselor - Professional practicing in Middletown, OH. With approximately 16 years of clinical experience since completing medical education in 2010, Katherine Moore delivers high-quality medical care to the local community at 1659 SOUTH BREIEL BLVD.

Katherine Moore is affiliated with Counseling Source Inc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

1659 South Breiel Blvd

Middletown, OH 450446705

Telephone 5134240921
Fax 5134244810
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2010

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Middletown, OH

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
16 Yrs -2.1 yrs vs City Avg
City Avg: 18.1 Yrs
State Avg: 15.9 Yrs
Regional Practice Density
28 Specialists

Practicing in Middletown, OH (6923 Statewide)

Telehealth Adoption Rate
14.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Moore (16 Years) 16 Yrs
Middletown Specialty Average (18.1 Years) 18.1 Yrs

Medical Specialties & State Licenses

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License OH E.0900160-S

Definition to come...

Hospital & Practice Group Affiliations

Counseling Source Inc

10921 Reed Hartman Hwy, Blue Ash, OH 452422851

Phone: 5139849838

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

19 Associated Practitioners
Caroline Presno , LPCC

Counselor - Mental Health

NPI 1093932790

Licensed Professional Clinical Counselor

Bethany Wilson-Paul , LISW

Counselor - Mental Health

NPI 1124239629

Licensed Independent Social Worker

Tim Klett , LCSW, LISW-S

Social Worker - Clinical

NPI 1225089618

Licensed Clinical Social Worker, LISWS

Christian Hughes , MSW, LISW

Counselor - Mental Health

NPI 1245325919

Master of Social Work, Licensed Independent Social Worker

NPI 1376955724
Michelle Boyd Schroeder , LISW

Counselor - Mental Health

NPI 1407911290

Licensed Independent Social Worker

Career & Practice History Timeline

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

8 Historical Events
👤
Provider Name / Credentials Updated May 23, 2019

Recorded as KATHERINE MOORE, LPCC-S

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 23, 2019

Counselor (License #E.0900160-S in OH)

NPI Profile Active August 03, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location August 03, 2012

Registered at 1659 SOUTH BREIEL BLVD, MIDDLETOWN, OH 450446705 (Tel: 5134240921)

📍
Updated Business Mailing Address August 03, 2012

Registered at 1659 SOUTH BREIEL BLVD, MIDDLETOWN, OH 45044 (Tel: 5134240921)

👤
Provider Name / Credentials Updated August 03, 2012

Recorded as KATHERINE MOORE, MS,ED. PC/CR

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 03, 2012

Counselor (License #C-0900160 in OH)

🟢
Initial NPI Registration & Enumeration February 14, 2012

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: 1376816819
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 14, 2012
Last Update: May 23, 2019
Sole Proprietor: Yes

Mailing Address

1659 South Breiel Blvd

Middletown, OH 45044

Phone: 5134240921

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.