JUANITA MOORE
NPI 1073448205
Counselor - Professional in Suffolk, VA

Active since June 17, 2026PECOS Enrolled
135 S SARATOGA ST, SUFFOLK, VA 23434(757) 715-7418 Get Directions Write a Review

NPPES record last updated: June 17, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Juanita Moore NPPES

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

JUANITA MOORE (NPI 1073448205) is an individual professional provider in Suffolk, Virginia, licensed in Virginia (0701016296) and active in the NPI registry since June 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073448205
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJUANITA MOORE
Location Address135 S SARATOGA STSuffolk, VA 23434-5322
Mailing Address135 S Saratoga StSuffolk, VA 23434-5322 · (757) 927-9594
Sole ProprietorNo
Enumeration DateJune 17, 2026
NPPES CertifiedJune 17, 2026
NPI 1073448205 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 VA · 0701016296
135 S SARATOGA ST, Suffolk, VA 23434

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Juanita Moore 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 6

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

Counselor (Professional)
135 S SARATOGA ST
SUFFOLK, VA 23434
Counselor (Professional)
135 S SARATOGA ST
SUFFOLK, VA 23434
Psychologist (Clinical)
135 S SARATOGA ST
SUFFOLK, VA 23434
Counselor (Professional)
135 S SARATOGA ST
SUFFOLK, VA 23434
Social Worker (Clinical)
135 S SARATOGA ST
SUFFOLK, VA 23434
Counselor (Professional)
135 S SARATOGA ST
SUFFOLK, VA 23434

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 Juanita Moore's NPI number?

The NPI number for Juanita Moore is 1073448205. It was assigned to this individual provider in the NPPES registry on June 17, 2026.

Where is Juanita Moore located?

Juanita Moore practices at 135 S Saratoga St, Suffolk, VA 23434. The listed phone number is (757) 715-7418.

What is Juanita Moore's specialty?

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

Is Juanita Moore enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Juanita Moore was last updated on June 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 48 days 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.