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Active NPI 1467178020 Individual Practitioner Female Practitioner

Susan Lynette Moore

Counselor - Professional • Nacogdoches, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Susan Moore is a certified Counselor - Professional practicing in Nacogdoches, TX. With approximately 14 years of clinical experience since completing medical education in 2012, Susan Moore delivers high-quality medical care to the local community at 3524 NE STALLINGS DR.

Susan Moore is affiliated with Etsah Counseling Center, Pllc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

3524 Ne Stallings Dr

Nacogdoches, TX 759658728

Telephone 9365606855
Fax 9365645232
Associated Practice Facility / Clinic
🏢 Crossover Counseling Facility NPI 1952506651

Medicare Profile & Education

Medical School

Other

Graduation Year

2012

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Nacogdoches, TX

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
14 Yrs -2.2 yrs vs City Avg
City Avg: 16.2 Yrs
State Avg: 14.1 Yrs
Regional Practice Density
67 Specialists

Practicing in Nacogdoches, TX (21203 Statewide)

Telehealth Adoption Rate
1.5% 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 (14 Years) 14 Yrs
Nacogdoches Specialty Average (16.2 Years) 16.2 Yrs

Medical Specialties & State Licenses

CMS Verified: 2024-08-05
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License TX 81860

Definition to come...

Hospital & Practice Group Affiliations

Etsah Counseling Center, Pllc

3500 Hillcrest Dr, Waco, TX 767083100

Phone: 2544474539

Practice Associates & Co-Workers

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

17 Associated Practitioners
Jennifer Lostracco , LPC

Counselor - Professional

NPI 1104375252

Licensed Professional Counselor

Adriana Collins , LPC-ASSOCIATE

Counselor - Mental Health

NPI 1164301545

LPCASSOCIATE

Maura Messer

Social Worker - Clinical

NPI 1215576277
Kallie Krawietz

Counselor - Professional

NPI 1255761813
Ashley Smith , LPC

Counselor - Professional

NPI 1275171142

Licensed Professional Counselor

Malena Rikard , LPC

Counselor - Mental Health

NPI 1295073575

Licensed Professional Counselor

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location August 05, 2024

Registered at 3524 NE STALLINGS DR, NACOGDOCHES, TX 759658728 (Tel: 9365606855)

📍
Updated Business Mailing Address August 05, 2024

Registered at 3524 NE STALLINGS DR, NACOGDOCHES, TX 759658728 (Tel: 9365606855)

NPI Profile Active October 22, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location October 22, 2022

Registered at 1324 PRUITT HILL DR APT 705, NACOGDOCHES, TX 759614634 (Tel: 2548552805)

📍
Updated Business Mailing Address October 22, 2022

Registered at 1324 PRUITT HILL DR APT 705, NACOGDOCHES, TX 759614634 (Tel: 2548552805)

👤
Provider Name / Credentials Updated October 22, 2022

Recorded as SUSAN MOORE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 22, 2022

Counselor (License #81860 in TX)

🟢
Initial NPI Registration & Enumeration October 17, 2022

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: 1467178020
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 17, 2022
Last Update: August 05, 2024
Sole Proprietor: Yes

Mailing Address

3524 Ne Stallings Dr

Nacogdoches, TX 759658728

Phone: 9365606855

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.