SHIRLEY MOORE FORD MS, LPC, NCC, MAC
NPI 1063912681
Counselor - Professional in Greenville, AL

Active since February 20, 2018PECOS Enrolled
185 INDUSTRIAL PKWY, GREENVILLE, AL 36037(334) 382-2108(334) 382-6353 Get Directions Write a Review

NPPES record last updated: February 20, 2018. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Shirley Moore Ford Ms, Lpc, Ncc, Mac NPPES

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

SHIRLEY MOORE FORD MS, LPC, NCC, MAC (NPI 1063912681) is an individual professional provider in Greenville, Alabama, licensed in Alabama (3266) and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063912681
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSHIRLEY MOORE FORDCredential: MS, LPC, NCC, MAC
Location Address185 INDUSTRIAL PKWYGreenville, AL 36037-2421
Mailing Address108 Fleetwood RdPrattville, AL 36067-4028 · (205) 275-8251 · Fax (334) 382-6353
Fax(334) 382-6353
Sole ProprietorNo
Enumeration DateFebruary 20, 2018
✔ NPI 1063912681 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in AL · 3266
185 INDUSTRIAL PKWY, Greenville, AL 36037

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shirley Moore Ford Ms, Lpc, Ncc, Mac 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.

Medicare Billing Reassignment

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

Community/Behavioral Health
10519 VAUGHN RD
Pike Road, AL 36064
  • Reassigned Medicare billing, Alabama enrollment
  • 5 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.

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 Shirley Ford's NPI number?

The NPI number for Shirley Ford is 1063912681. It was assigned to this individual provider in the NPPES registry on February 20, 2018.

Where is Shirley Ford located?

Shirley Ford practices at 185 Industrial Pkwy, Greenville, AL 36037. The listed phone number is (334) 382-2108.

What is Shirley Ford's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Shirley Ford enrolled in Medicare?

Yes. Shirley Ford is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shirley Ford's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shirley Ford reassigns Medicare benefits to Pike Road Counseling, LLC (Pike Road, AL). 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 Shirley Ford's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shirley Ford accept?

Health plans from Blue Cross and Blue Shield of Alabama, Oscar Insurance Company and UnitedHealthcare list Shirley Ford 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 Shirley Ford was last updated on February 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.