MS. TIANNA RAQUEL MOORE MHC-LP
NPI 1033968474
Counselor - Mental Health in Brooklyn, NY

Active since May 17, 2024PECOS Enrolled
1720 NOSTRAND AVE, BROOKLYN, NY 11226(347) 973-3119 Get Directions Write a Review

NPPES record last updated: May 22, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 22, 2026, May 17, 2024 (2 updates tracked since 2024).

About Ms. Tianna Raquel Moore Mhc-lp NPPES

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

MS. TIANNA RAQUEL MOORE MHC-LP (NPI 1033968474) is an individual mental health provider in Brooklyn, New York, licensed in New York (017810) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Valley Stream, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1033968474
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. TIANNA RAQUEL MOORECredential: MHC-LP
Location Address1720 NOSTRAND AVEBrooklyn, NY 11226-6456
Mailing AddressPo Box 1342Valley Stream, NY 11582-1342 · (347) 998-0824
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateMay 17, 2024
Last NPPES UpdateMay 22, 20262 updates tracked since enumeration
NPPES CertifiedMay 22, 2026
✔ NPI 1033968474 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 NY · 017810
1720 NOSTRAND AVE, Brooklyn, NY 11226

Secondary Practice Location 1

Location 1108 S Franklin Ave Ste 3Valley Stream, NY 11580-6105 · Phone (516) 303-9925

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Tianna Raquel Moore Mhc-lp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8123582137
PECOS Enrollment IDI20260710001581
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.

Medicare Billing Reassignment

Medicare enrollment records show Tianna Moore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health (Including Community Mental Health Center)
600 3RD AVE FL 2
New York, NY 10016
  • Reassigned Medicare billing, New York enrollment
  • 72 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Counselor (Mental Health)
1720 NOSTRAND AVE
BROOKLYN, NY 11226
Counselor (Mental Health)
1720 NOSTRAND AVE
BROOKLYN, NY 11226
Counselor (Mental Health)
1720 NOSTRAND AVE
BROOKLYN, NY 11226

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 Tianna Moore's NPI number?

The NPI number for Tianna Moore is 1033968474. It was assigned to this individual provider in the NPPES registry on May 17, 2024.

Where is Tianna Moore located?

Tianna Moore practices at 1720 Nostrand Ave, Brooklyn, NY 11226. The listed phone number is (347) 973-3119.

What is Tianna Moore's specialty?

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

Is Tianna Moore enrolled in Medicare?

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

Which organization bills Medicare for Tianna Moore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tianna Moore reassigns Medicare benefits to Aa Psychology PLLC (New York, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tianna Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Tianna Moore was last updated on May 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.