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HANNA JACQUELYN MOORE BS
NPI 1073189742
Counselor - Mental Health in Essex, CT

Active since June 02, 2021PECOS Enrolled
190 WESTBROOK RD, ESSEX, CT 06426(860) 767-0147(860) 767-0148 Get Directions Write a Review

NPPES record last updated: June 2, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Hanna Jacquelyn Moore Bs NPPES

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

HANNA JACQUELYN MOORE BS (NPI 1073189742) is an individual mental health provider in Essex, Connecticut and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1073189742
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameHANNA JACQUELYN MOORECredential: BS
Location Address190 WESTBROOK RDEssex, CT 06426-1518
Mailing Address255 Hempstead StNew London, CT 06320-6290 · (860) 443-2896 · Fax (860) 442-5909
Phone(860) 767-0147
Fax(860) 767-0148
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateJune 2, 2021
NPPES CertifiedJune 2, 2021
✔ NPI 1073189742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
190 WESTBROOK RD, Essex, CT 06426
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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 (PECOS)

Hanna Jacquelyn Moore Bs is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID446721757
PECOS Enrollment IDI20260608003099
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 20

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

MS. KARYN ANNE LEIPOLD MSW LCSW CADC
Social Worker
190 WESTBROOK RD
ESSEX, CT 06426
Lower Connecticut River Valley Planning Region (860) 767-0147
DIANA BONACCI MSW
Social Worker
190 WESTBROOK RD
ESSEX, CT 06426
Lower Connecticut River Valley Planning Region (860) 767-0147
VINCENZO MARAFITO BA
Social Worker
190 WESTBROOK RD
ESSEX, CT 06426
Lower Connecticut River Valley Planning Region (860) 767-0147
ALYSSA ACKERSON LMSW
Social Worker (Clinical)
190 WESTBROOK RD
ESSEX, CT 06426
Lower Connecticut River Valley Planning Region (860) 767-0147
MS. FAITH B FULLER LPC
Counselor (Mental Health)
190 WESTBROOK RD, CHILD & FAMILY AGENCY
ESSEX, CT 06426
Lower Connecticut River Valley Planning Region (860) 767-0147
PORTIA PENDLETON LMSW
Social Worker (Clinical)
190 WESTBROOK RD
ESSEX, CT 06426
Lower Connecticut River Valley Planning Region (860) 767-0147
SHELBY MEHMET BSW
Social Worker
190 WESTBROOK RD
ESSEX, CT 06426
Lower Connecticut River Valley Planning Region (860) 701-3776
MS. RENEE F DUNN MSW
Social Worker
190 WESTBROOK RD
ESSEX, CT 06426
Lower Connecticut River Valley Planning Region (860) 767-0147

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 Hanna Moore's NPI number?

The NPI number for Hanna Moore is 1073189742. It was assigned to this individual provider in the NPPES registry on June 2, 2021.

Where is Hanna Moore located?

Hanna Moore practices at 190 Westbrook Rd, Essex, CT 06426. The listed phone number is (860) 767-0147.

What is Hanna Moore's specialty?

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

Is Hanna Moore enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Hanna Moore was last updated on June 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.