AUDREA MAURINE MOORE LMHC
NPI 1124161153
Counselor - Mental Health in Lutz, FL

Active since February 15, 2007PECOS EnrolledAccepts Medicare Assignment
1506 CANNONADE CT, LUTZ, FL 33549(813) 714-9792 Get Directions Write a Review

NPPES record last updated: October 19, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 19, 2023, Oct 30, 2020 (2 updates tracked since 2020).

About Audrea Maurine Moore Lmhc NPPES

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

AUDREA MAURINE MOORE LMHC (NPI 1124161153) is an individual mental health provider in Lutz, Florida, licensed in Florida (MH8581) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1124161153
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameAUDREA MAURINE MOORECredential: LMHC
Location Address1506 CANNONADE CTLutz, FL 33549-5822
Mailing Address1506 Cannonade CtLutz, FL 33549-5822 · (813) 714-9792
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateFebruary 15, 2007
Last NPPES UpdateOctober 19, 20232 updates tracked since enumeration
NPPES CertifiedOctober 19, 2023
NPI 1124161153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in FL · MH8581
Also ListedCounselorTaxonomy 101Y00000X
1506 CANNONADE CT, Lutz, FL 33549

Other Identifiers 1

Medicaid765872900FL

Accepted 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

Audrea Maurine Moore Lmhc 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 ID8325496144
PECOS Enrollment IDI20231204002907
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.

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 Audrea Moore's NPI number?

The NPI number for Audrea Moore is 1124161153. It was assigned to this individual provider in the NPPES registry on February 15, 2007.

Where is Audrea Moore located?

Audrea Moore practices at 1506 Cannonade Ct, Lutz, FL 33549. The listed phone number is (813) 714-9792.

What is Audrea Moore's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Audrea Moore enrolled in Medicare?

Yes. Audrea 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 Audrea Moore accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Blue Cross and Blue Shield of Kansas, Inc. and Florida Blue (BlueCross BlueShield FL) and 5 other insurers list Audrea 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 Audrea Moore was last updated on October 19, 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.