VANESSA GORE LPC-A
NPI 1063117281
Counselor - Mental Health in Cleburne, TX

Active since April 05, 2023PECOS Enrolled
1108 LYNNWOOD CT, CLEBURNE, TX 76033(910) 625-9484 Get Directions Write a Review

NPPES record last updated: March 25, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 25, 2026, Apr 5, 2023 (2 updates tracked since 2023).

About Vanessa Gore Lpc-a NPPES

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

VANESSA GORE LPC-A (NPI 1063117281) is an individual mental health provider in Cleburne, Texas, licensed in Texas (90304) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1063117281
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameVANESSA GORECredential: LPC-A
Location Address1108 LYNNWOOD CTCleburne, TX 76033-6913
Mailing Address1108 Lynnwood CtCleburne, TX 76033-6913 · (910) 625-9484
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateApril 5, 2023
Last NPPES UpdateMarch 25, 20262 updates tracked since enumeration
NPPES CertifiedMarch 25, 2026
NPI 1063117281 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in TX · 90304
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 90304 (TX)
1108 LYNNWOOD CT, Cleburne, TX 76033

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Vanessa Gore Lpc-a is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID648765644
PECOS Enrollment IDI20251217002129
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

The NPI number assigned to this healthcare provider is 1063117281, enumerated as an "individual" on April 05, 2023.

The provider is located at 1108 LYNNWOOD CT CLEBURNE, TX 76033 and the phone number is (910) 625-9484.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.