Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1972676559 Individual Practitioner Female Practitioner

Kathleen Ann Moore , LPC

Counselor - Professional • Bastrop, TX

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Kathleen Moore, LPC is a certified Counselor - Professional practicing in Bastrop, TX. With approximately 40 years of clinical experience since completing medical education in 1986, Kathleen Moore delivers high-quality medical care to the local community at 909 PECAN ST.

Kathleen Moore is affiliated with Brainwell Psychiatry And Mental Health Pllc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Practice Location & Contact Primary Location

Practice Address

909 Pecan St

Bastrop, TX 786023819

Telephone 5123608488
Fax 9562532505
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

1986

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Bastrop, TX

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
40 Yrs +21.9 yrs vs City Avg
City Avg: 18.1 Yrs
State Avg: 14.1 Yrs
Regional Practice Density
33 Specialists

Practicing in Bastrop, TX (21203 Statewide)

Telehealth Adoption Rate
9.1% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Moore (40 Years) 40 Yrs
Bastrop Specialty Average (18.1 Years) 18.1 Yrs

Medical Specialties & State Licenses

CMS Verified: 2026-04-06
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License TX 13112

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0955437-04 (TX)
Commercial Insurance / Payer ID License
13112 (TX)

Hospital & Practice Group Affiliations

Brainwell Psychiatry And Mental Health Pllc

909 Pecan St, Bastrop, TX 786023819

Phone: 5123608488

Practice Associates & Co-Workers

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

7 Associated Practitioners
Victoria Pomajevich , PA-C

Physician Assistant

NPI 1144903030

Physician Assistant (Certified)

Margaret Musselman , APRN-BC

Nurse Practitioner - Family

NPI 1174736664

APRNBC

Dr. Sandra Dunkin , MD

Psychiatry & Neurology - Psychiatry

NPI 1316328016

Doctor of Medicine (M.D.)

Madisyn Puangco , PA-C

Physician Assistant

NPI 1346110640

Physician Assistant (Certified)

Ashley Brancato , LPC

Counselor - Professional

NPI 1629707278

Licensed Professional Counselor

Kristin Staten

Nurse Practitioner - Psychiatric/Mental Health

NPI 1720955529

Career & Practice History Timeline

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

15 Historical Events
📍
Updated Practice Location April 06, 2026

Registered at 909 PECAN ST, BASTROP, TX 786023819 (Tel: 5123608488)

📍
Updated Business Mailing Address April 06, 2026

Registered at 909 PECAN ST, BASTROP, TX 786023819 (Tel: 5123608488)

NPI Profile Active June 08, 2017

NPI status registered as active in NPPES database

📍
Updated Business Mailing Address June 08, 2017

Registered at 205 E UNIVERSITY AVE STE 200, GEORGETOWN, TX 786266821 (Tel: (877) 800-5722)

📍
Updated Practice Location June 08, 2017

Registered at 605 OLD AUSTIN HWY, BASTROP, TX 786025034 (Tel: 8778005722)

👤
Provider Name / Credentials Updated June 08, 2017

Recorded as KATHLEEN MOORE, LPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 08, 2017

Counselor (License #13112 in TX)

📍
Updated Practice Location January 31, 2017

Registered at 605 OLD AUSTIN HWY, BASTROP, TX 786025034 (Tel: 8778005722)

📍
Updated Business Mailing Address January 31, 2017

Registered at PO BOX 1680, BASTROP, TX 786028680 (Tel: 5127894447)

NPI Profile Active May 22, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location May 22, 2008

Registered at 1107 CHURCH STREET, BASTROP, TX 78602 (Tel: 5127894447)

📍
Updated Business Mailing Address May 22, 2008

Registered at 1107 CHURCH STREET, BASTROP, TX 78602 (Tel: 5127894447)

👤
Provider Name / Credentials Updated May 22, 2008

Recorded as KATHLEEN MOORE, LPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 22, 2008

Counselor (License #13112 in TX)

🟢
Initial NPI Registration & Enumeration November 15, 2006

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: 1972676559
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 15, 2006
Last Update: April 06, 2026
Sole Proprietor: Yes

Mailing Address

909 Pecan St

Bastrop, TX 786023819

Phone: 5123608488

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.