Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Katherine Renee Moore, LPCC-S

Individual provider Professional Counselor · NPI 1376816819

Mrs. Katherine Renee Moore, LPCC-S is a Mental Health Counselor in Middletown, Ohio. Qualified in 2010, 16 years ago. Practices with Counseling Source Inc, a 49-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
16
Licensed in
OH
In the registry since
2012
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Practice location Address checks out

1659 S Breiel Blvd
Middletown, OH 45044-6705
Phone: (513) 424-0921
Fax: (513) 424-4810
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence E.0900160-S (OH)

Record details

NPI number1376816819
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPCC-S
Sole proprietorYes
NPI enumeratedFebruary 14, 2012
Last updated in NPPESMay 23, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Counseling Source Inc — 49 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Middletown