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MARY MOORE LPCC/LICDC
NPI 1083162747
Counselor - Professional in Cincinnati, OH

Active since September 12, 2016PECOS EnrolledAccepts Medicare Assignment
446 MORGAN ST, CINCINNATI, OH 45206(513) 834-7063(513) 873-1567 Get Directions Write a Review

NPPES record last updated: August 15, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 15, 2023, May 11, 2021, Feb 19, 2020 and 2 more (5 updates tracked since 2016).

About Mary Moore Lpcc/licdc NPPES

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

MARY MOORE LPCC/LICDC (NPI 1083162747) is an individual professional provider in Cincinnati, Ohio, licensed in Ohio (E.2202957) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1083162747
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMARY MOORECredential: LPCC/LICDC
Location Address446 MORGAN STCincinnati, OH 45206-2348
Mailing Address4600 Montgomery Rd Ste 400Cincinnati, OH 45212-2600 · (833) 510-4357
Phone(513) 834-7063
Fax(513) 873-1567
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 12, 2016
Last NPPES UpdateAugust 15, 20235 updates tracked since enumeration
NPPES CertifiedAugust 15, 2023
✔ NPI 1083162747 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 OH · E.2202957
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License LICDC.161907 (OH)
446 MORGAN ST, Cincinnati, OH 45206
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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 and accepts Medicare assignment

Mary Moore Lpcc/licdc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9032640776
PECOS Enrollment IDI20241004001076
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.

SARAH ELIZABETH PHIPPS LPN
Licensed Practical Nurse
446 MORGAN ST
CINCINNATI, OH 45206
Hamilton County (866) 934-7450
MR. FRANKLIN ALEXANDER WILKERSON PMHNP-C
Nurse Practitioner (Psychiatric/Mental Health)
446 MORGAN ST
CINCINNATI, OH 45206
Hamilton County (833) 510-4357
JAMES HENRY JONES SR. LCDCII
Counselor (Addiction (Substance Use Disorder))
446 MORGAN ST
CINCINNATI, OH 45206
Hamilton County (833) 510-4357
KELLIE CLAY
Nurse Practitioner (Psychiatric/Mental Health)
446 MORGAN ST
CINCINNATI, OH 45206
Hamilton County (833) 510-4357
TAMYA MITCHELL CNA
Licensed Practical Nurse
446 MORGAN ST
CINCINNATI, OH 45206
Hamilton County (513) 213-9527
GRACE ANNE VENZOR RN
Registered Nurse
446 MORGAN ST
CINCINNATI, OH 45206
Hamilton County (513) 834-7063
MINDY NICOLE SCHMIDT RN
Registered Nurse
446 MORGAN ST
CINCINNATI, OH 45206
Hamilton County (866) 934-7450
JODY BIRKLEY RN
Registered Nurse
446 MORGAN ST
CINCINNATI, OH 45206
Hamilton County (513) 834-7063

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 Mary Moore's NPI number?

The NPI number for Mary Moore is 1083162747. It was assigned to this individual provider in the NPPES registry on September 12, 2016.

Where is Mary Moore located?

Mary Moore practices at 446 Morgan St, Cincinnati, OH 45206. The listed phone number is (513) 834-7063.

What is Mary Moore's specialty?

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

Is Mary Moore enrolled in Medicare?

Yes. Mary Moore is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mary Moore accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and MedMutual and 5 other insurers list Mary 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 Mary Moore was last updated on August 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.