HEATHER HELEN MOORE LPC
NPI 1104434919
Counselor - Professional in Allentown, PA

Q: What is Heather Moore's NPI number?

The NPI number for Heather Moore is 1104434919. It was assigned to this individual provider in the NPPES registry on July 17, 2020.

Q: What is Heather Moore's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Heather Moore was last updated on March 12, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 17, 2020PECOS Enrolled

3080 HAMILTON BLVD STE 200, ALLENTOWN, PA 18103(484) 661-4642(484) 661-4644 Get Directions Write a Review

NPPES record last updated: March 12, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Heather Helen Moore Lpc NPPES

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

HEATHER HELEN MOORE LPC (NPI 1104434919) is an individual professional provider in Allentown, Pennsylvania, licensed in Pennsylvania (PC012525) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Bethlehem.

NPPES Registry Identity

NPI1104434919

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameHEATHER HELEN MOORECredential: LPC

Location Address3080 HAMILTON BLVD STE 200Allentown, PA 18103-3692

Mailing Address2100 Mack Blvd Fl 4Allentown, PA 18103-5622 · (484) 884-4500

Phone(484) 661-4642

Fax(484) 661-4644

Sole ProprietorYes

Enumeration DateJuly 17, 2020

Last NPPES UpdateMarch 12, 2024

NPPES CertifiedMarch 12, 2024

✔ NPI 1104434919 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 PA · PC012525

3080 HAMILTON BLVD STE 200, Allentown, PA 18103

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Secondary Practice Location 1

Location 11650 Broadway Fl 2Bethlehem, PA 18015-3998 · Phone (484) 274-7541

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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)

Heather Helen 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 13

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

DR. SAJANI JITENDRA SUKHADIA M.D.

Pediatrics (Developmental - Behavioral Pediatrics)