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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: October 18, 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 and is a graduate of Other (2019).

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
Phone(757) 715-7418
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
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
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID4082179809
PECOS Enrollment IDI20260722003452
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 Juanita Moore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Western Tidewater Community Mental
14 mi
Mental Health (Including Community Mental Health Center)
7025 HARBOUR VIEW BLVD STE 119
Suffolk, VA 23435
  • Reassigned Medicare billing, Virginia enrollment
  • 76 clinicians in this Medicare group
NPI 1689615296 (757) 966-2805

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

CHANIECE WINFIELD LPC
Counselor (Professional)
135 S SARATOGA ST
SUFFOLK, VA 23434
Suffolk City (757) 842-0542
SHEILA W REAVES LPC
Counselor (Professional)
135 S SARATOGA ST
SUFFOLK, VA 23434
Suffolk City (757) 925-1981
DR. LORI A BURKETT CLINICAL PSYCHOLOGIS
Psychologist (Clinical)
135 S SARATOGA ST
SUFFOLK, VA 23434
Suffolk City (757) 255-7117
PATRICE OWENS LPC
Counselor (Professional)
135 S SARATOGA ST
SUFFOLK, VA 23434
Suffolk City (757) 635-2278
MRS. LOGAN ELLINGTON-HARRISON LCSW
Social Worker (Clinical)
135 S SARATOGA ST
SUFFOLK, VA 23434
Suffolk City (757) 942-1985
MARY WILLIAMS LPC
Counselor (Professional)
135 S SARATOGA ST
SUFFOLK, VA 23434
Suffolk City (757) 925-2222

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.

Which organization bills Medicare for Juanita Moore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Juanita Moore reassigns Medicare benefits to Western Tidewater Community Mental (Suffolk, VA). 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 Juanita Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Juanita Moore accept?

Health plans from Oscar Health list Juanita 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 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 4 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.