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CHARLOTTE A MOORE LPC
NPI 1073821963
Counselor - Professional in Lebanon, MO

Active since September 14, 2010PECOS Enrolled
104 CRESCENT DR, LEBANON, MO 65536(417) 588-5885(417) 588-4296 Get Directions Write a Review

NPPES record last updated: July 30, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Charlotte A Moore Lpc NPPES

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

CHARLOTTE A MOORE LPC (NPI 1073821963) is an individual professional provider in Lebanon, Missouri, licensed in Missouri (2010032196) and active in the NPI registry since September 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073821963
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameCHARLOTTE A MOORECredential: LPC
Location Address104 CRESCENT DRLebanon, MO 65536-3301
Mailing Address104 Crescent DrLebanon, MO 65536-3301 · (417) 588-5885 · Fax (417) 588-4296
Phone(417) 588-5885
Fax(417) 588-4296
Sole ProprietorYes
Enumeration DateSeptember 14, 2010
Last NPPES UpdateJuly 30, 2025
NPPES CertifiedJuly 30, 2025
✔ NPI 1073821963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MO · 2010032196
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 2010032196 (MO)
104 CRESCENT DR, Lebanon, MO 65536
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charlotte A Moore Lpc 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 11

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

SARAH LYNN BURTON PHD
Psychologist (Clinical)
104 CRESCENT DR
LEBANON, MO 65536
Laclede County (417) 588-5885
SHANNON LEE WILLIAMS M.A., P.L.P.C.
Counselor (Professional)
104 CRESCENT DR
LEBANON, MO 65536
Laclede County (417) 588-5885
CALMING THE STORM
Counselor (Professional)
104 CRESCENT DR
LEBANON, MO 65536
Laclede County (417) 588-5885
MISSOURI BEHAVIORAL HEALTH COUNSELING ASSOCIATES
Psychologist (Clinical)
104 CRESCENT DR
LEBANON, MO 65536
Laclede County (417) 664-4584
MR. JERAMIE SOUSA GORMAN PLPC
Counselor (Professional)
104 CRESCENT DR
LEBANON, MO 65536
Laclede County (417) 588-5885
SHERRITA M ALLEN
Counselor (Professional)
104 CRESCENT DR
LEBANON, MO 65536
Laclede County (417) 588-5885
TALLIE L STAFFORD LMSW
Social Worker
104 CRESCENT DR
LEBANON, MO 65536
Laclede County (417) 588-5885
SHEILA JEAN BUIE LPC
Counselor (Professional)
104 CRESCENT DR
LEBANON, MO 65536
Laclede County (417) 588-5885

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 Charlotte Moore's NPI number?

The NPI number for Charlotte Moore is 1073821963. It was assigned to this individual provider in the NPPES registry on September 14, 2010.

Where is Charlotte Moore located?

Charlotte Moore practices at 104 Crescent Dr, Lebanon, MO 65536. The listed phone number is (417) 588-5885.

What is Charlotte Moore's specialty?

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

Is Charlotte Moore enrolled in Medicare?

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

What insurance does Charlotte Moore accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 6 other insurers list Charlotte 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 Charlotte Moore was last updated on July 30, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.