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: October 18, 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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

5

Medicare enrollment records show Audrea Moore reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mental Health
4408 BEDFORD WAY
Leesburg, FL 34748
  • Reassigned Medicare billing, Florida enrollment
  • 3 clinicians in this Medicare group
Mental Health
2556 VOLTA CIR
Kissimmee, FL 34746
  • Reassigned Medicare billing, Florida enrollment
  • 9 clinicians in this Medicare group
Internal Medicine
500 WINDERLEY PL STE 112
Maitland, FL 32751
  • Reassigned Medicare billing, Florida enrollment
  • 47 clinicians in this Medicare group
Psychologist
5530 NORTHROP RD
Milton, FL 32570
  • Reassigned Medicare billing, Florida enrollment
  • 25 clinicians in this Medicare group
Psychiatry
250 CORPORATE CENTER CT
Stockbridge, GA 30281
  • Reassigned Medicare billing, Florida enrollment
  • 408 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Which organizations bill Medicare for Audrea Moore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Audrea Moore reassigns Medicare benefits to 5 organizations: Alisa Grove PA (Leesburg, FL), 3am Counseling Services, LLC (Kissimmee, FL), Telos Health Systems Fl LLC (Maitland, FL), Lifesource Of North Carolina (Milton, FL) and Personal Recovery Network LLC (Stockbridge, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Audrea Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Audrea Moore accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida and 1 other insurer 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 3 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.