REBECCA MORENO LCPC
NPI 1104216704
Counselor - Professional in Moline, IL
About Rebecca Moreno Lcpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
REBECCA MORENO LCPC (NPI 1104216704) is an individual professional provider in Moline, Illinois, licensed in Illinois (180.008375) and active in the NPI registry since February 2015. She has opted out of Medicare through January 19, 2028.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Rebecca Moreno Lcpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 19, 2024 through January 19, 2028.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Rebecca Moreno's NPI number?
The NPI number for Rebecca Moreno is 1104216704. It was assigned to this individual provider in the NPPES registry on February 3, 2015.
Where is Rebecca Moreno located?
Rebecca Moreno practices at 3919 16th St, Moline, IL 61265. The listed phone number is (309) 797-6983.
What is Rebecca Moreno's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Rebecca Moreno enrolled in Medicare?
No. Rebecca Moreno has opted out of Medicare through January 19, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Rebecca Moreno was last updated on April 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Rebecca Moreno, LCPC · NPI 1104216704
Professional provider in Moline, Illinois. Individual provider, active in the CMS NPPES registry since February 3, 2015.
## Identity
- **NPI:** 1104216704 (Entity type: Individual)
- **Enumerated:** February 3, 2015
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 180.008375 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 3919 16TH ST, Moline, IL 61265-7217
- **Phone:** (309) 797-6983
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through January 19, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** April 17, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1104216704) · Data from the CMS NPPES public registry.