PROF. EILEEN LOUISE MOORE MA, MS, LMHC
NPI 1053580258
Counselor - Mental Health in Crestview, FL

Active since February 21, 2008PECOS Enrolled
6268 OLD BETHEL RD, CRESTVIEW, FL 32536(850) 353-2677 Get Directions Write a Review

NPPES record last updated: September 26, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 26, 2024, Aug 9, 2023, Jul 27, 2023 (3 updates tracked since 2023).

About Prof. Eileen Louise Moore Ma, Ms, Lmhc NPPES

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

PROF. EILEEN LOUISE MOORE MA, MS, LMHC (NPI 1053580258) is an individual mental health provider in Crestview, Florida, licensed in Florida (MH9518) and active in the NPI registry since February 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053580258
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NamePROF. EILEEN LOUISE MOORECredential: MA, MS, LMHC
Location Address6268 OLD BETHEL RDCrestview, FL 32536-5505
Mailing Address6268 Old Bethel RdCrestview, FL 32536-5505 · (850) 353-2677
Sole ProprietorYes
Enumeration DateFebruary 21, 2008
Last NPPES UpdateSeptember 26, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 26, 2024
NPI 1053580258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses Licensed in FL · MH9518 Licensed · MH9518
6268 OLD BETHEL RD, Crestview, FL 32536

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Prof. Eileen Louise Moore Ma, Ms, Lmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 2

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

Counselor (Mental Health)
6268 OLD BETHEL RD
CRESTVIEW, FL 32536
Social Worker (Clinical)
6268 OLD BETHEL RD
CRESTVIEW, FL 32536

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 Eileen Moore's NPI number?

The NPI number for Eileen Moore is 1053580258. It was assigned to this individual provider in the NPPES registry on February 21, 2008.

Where is Eileen Moore located?

Eileen Moore practices at 6268 Old Bethel Rd, Crestview, FL 32536. The listed phone number is (850) 353-2677.

What is Eileen Moore's specialty?

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

Is Eileen Moore enrolled in Medicare?

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

What insurance does Eileen Moore accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Eileen Moore as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Eileen Moore was last updated on September 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.