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

Susan Lynette Moore

Individual provider Professional Counselor · NPI 1467178020

Susan Lynette Moore is a Mental Health Counselor in Nacogdoches, Texas. Qualified in 2012, 14 years ago. Practices with Etsah Counseling Center, PLLC, a 3-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
14
Licensed in
TX
In the registry since
2022
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Practice location Address checks out

3524 NE Stallings Dr
Nacogdoches, TX 75965-8728
Phone: (936) 560-6855
Fax: (936) 564-5232
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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 81860 (TX)

Record details

NPI number1467178020
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 17, 2022
Last updated in NPPESAugust 5, 2024
Certification dateAugust 5, 2024
Mailing address3524 Ne Stallings Dr, Nacogdoches, TX 75965-8728

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Etsah Counseling Center, Pllc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Nacogdoches