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Active NPI 1336363100 Individual Practitioner Female Practitioner

Bobbie June Moore , BA, PSRS, CMD

Counselor • Antlers, OK

Professional Overview & Biography Verified Profile Summary

Bobbie Moore, BA, PSRS, CMD is a registered healthcare professional specializing in Counselor in Antlers, OK. Practice services are available at 608 HWY 271 NORTH under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

608 Hwy 271 North

Antlers, OK 74523

Telephone 5802985062
Fax 5802985072
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Antlers, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
57 Specialists

Practicing in Antlers, OK (4611 Statewide)

Telehealth Adoption Rate
0.0% 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: 2026-06-03
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
200111200A (OK)

Secondary Practice Locations

1313 N 16th Ave

Durant, OK 747012134

Phone: 5806342332

Practice Associates & Co-Workers

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

40 Associated Practitioners
Katherine Simpson

Case Manager/Care Coordinator

NPI 1003568312
Sierra Allen , LPC

Counselor - Professional

NPI 1013519446

Licensed Professional Counselor

Elizabeth Warren

Counselor - Mental Health

NPI 1063850170
Jordan Hayes

Counselor

NPI 1083077861
Christy Milam

Registered Nurse

NPI 1104153295
NPI 1104162296

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 02, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location July 02, 2010

Registered at 608 HWY 271 NORTH, ANTLERS, OK 74523 (Tel: 5802985062)

📍
Updated Business Mailing Address July 02, 2010

Registered at 608 HWY 271 NORTH, ANTLERS, OK 74523 (Tel: 5802985062)

👤
Provider Name / Credentials Updated July 02, 2010

Recorded as BOBBIE MOORE, BA, PSRS, CMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 02, 2010

Counselor

🟢
Initial NPI Registration & Enumeration April 12, 2007

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: 1336363100
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 12, 2007
Last Update: June 03, 2026
Sole Proprietor: No

Mailing Address

608 Hwy 271 North

Antlers, OK 74523

Phone: 5802985062

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.