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MRS. JULIANA MOORE LPC
NPI 1003524729
Counselor - Mental Health in Jackson, MI

Active since November 10, 2022PECOS Enrolled
2692 N DETTMAN RD, JACKSON, MI 49201(517) 612-9902 Get Directions Write a Review

NPPES record last updated: December 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 8, 2025, Nov 10, 2022 (2 updates tracked since 2022).

About Mrs. Juliana Moore Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. JULIANA MOORE LPC (NPI 1003524729) is an individual mental health provider in Jackson, Michigan, licensed in Michigan (6401225725) and active in the NPI registry since November 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1003524729
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. JULIANA MOORECredential: LPC
Location Address2692 N DETTMAN RDJackson, MI 49201-8837
Mailing Address600 Harwood StJackson, MI 49203-3016 · (517) 914-3935
Phone(517) 612-9902
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateNovember 10, 2022
Last NPPES UpdateDecember 8, 20252 updates tracked since enumeration
NPPES CertifiedDecember 8, 2025
✔ NPI 1003524729 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MI · 6401225725
2692 N DETTMAN RD, Jackson, MI 49201
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Juliana Moore Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3971086513
PECOS Enrollment IDI20260317002940
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Juliana Moore's NPI number?

The NPI number for Juliana Moore is 1003524729. It was assigned to this individual provider in the NPPES registry on November 10, 2022.

Where is Juliana Moore located?

Juliana Moore practices at 2692 N Dettman Rd, Jackson, MI 49201. The listed phone number is (517) 612-9902.

What is Juliana Moore's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Juliana Moore enrolled in Medicare?

Yes. Juliana Moore is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Juliana Moore was last updated on December 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.