Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kristin Moore

Individual provider Counselor · NPI 1871956169

Kristin Moore is a Counselor in Saint Johns, Florida. Practices as a sole proprietor. Licensed in Florida and Illinois.

Licensed in
FL, IL
In the registry since
2016
Specialties on file
7

Practice location Address checks out

201 Bridgeton St
Saint Johns, FL 32259-0009
Phone: (904) 531-4761
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 149018302 (IL)
Counselor Taxonomy 101Y00000X · Licence SW18129 (FL)
Counselor Taxonomy 101Y00000X · Licence 149018302 (IL)
Mental Health Counselor Taxonomy 101YM0800X · Licence FL18129 (FL)
Mental Health Counselor Taxonomy 101YM0800X · Licence 149018302 (IL)
Professional Counselor Taxonomy 101YP2500X · Licence SW18129 (FL)
Professional Counselor Taxonomy 101YP2500X · Licence 149018302 (IL)

Record details

NPI number1871956169
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 4, 2016
Last updated in NPPESFebruary 18, 2024
Certification dateFebruary 18, 2024
Mailing address201 Bridgeton St, Saint Johns, FL 32259-0009