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LYDIA MOORE LCPC
NPI 1033841291
Counselor - Mental Health in Havre De Grace, MD

Active since June 27, 2022PECOS EnrolledAccepts Medicare Assignment
253 LEWIS LN STE 101, HAVRE DE GRACE, MD 21078(410) 686-3629 Get Directions Write a Review

NPPES record last updated: May 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lydia Moore Lcpc NPPES

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

LYDIA MOORE LCPC (NPI 1033841291) is an individual mental health provider in Havre De Grace, Maryland, licensed in Maryland (LC15244) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1033841291
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameLYDIA MOORECredential: LCPC
Location Address253 LEWIS LN STE 101Havre De Grace, MD 21078-3755
Mailing Address253 Lewis Ln Ste 101Havre De Grace, MD 21078-3755
Phone(410) 686-3629
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJune 27, 2022
Last NPPES UpdateMay 29, 2026
NPPES CertifiedMay 29, 2026
✔ NPI 1033841291 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 MD · LC15244
253 LEWIS LN STE 101, Havre De Grace, MD 21078
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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 and accepts Medicare assignment

Lydia Moore Lcpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6608314406
PECOS Enrollment IDI20240812001834
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.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ETHEL ANN BAKKE LPC, NCC, LMHC, CAP
Counselor (Mental Health)
253 LEWIS LN STE 101
HAVRE DE GRACE, MD 21078
Harford County (321) 474-4661
ADVANTAGE PSYCHIATRIC SERVICES LLC
Clinic/Center
253 LEWIS LN STE 101
HAVRE DE GRACE, MD 21078
Harford County (410) 686-3629
BRIANNA A KIRK
Social Worker
253 LEWIS LN STE 101
HAVRE DE GRACE, MD 21078
Harford County (410) 780-7178

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 Lydia Moore's NPI number?

The NPI number for Lydia Moore is 1033841291. It was assigned to this individual provider in the NPPES registry on June 27, 2022.

Where is Lydia Moore located?

Lydia Moore practices at 253 Lewis Ln Ste 101, Havre De Grace, MD 21078. The listed phone number is (410) 686-3629.

What is Lydia Moore's specialty?

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

Is Lydia Moore enrolled in Medicare?

Yes. Lydia Moore is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Lydia Moore was last updated on May 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.