MRS. JENEAN MOORE M.A., LCPC
NPI 1164822532
Counselor - Professional in Grayslake, IL
About Mrs. Jenean Moore M.a., Lcpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. JENEAN MOORE M.A., LCPC (NPI 1164822532) is an individual professional provider in Grayslake, Illinois, licensed in Illinois (178.010280) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Jenean Moore M.a., Lcpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jenean Moore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lake Bluff, IL 60044
- Reassigned Medicare billing, Illinois enrollment
- 10 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.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GRAYSLAKE, IL 60030
GRAYSLAKE, IL 60030
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 Jenean Moore's NPI number?
The NPI number for Jenean Moore is 1164822532. It was assigned to this individual provider in the NPPES registry on September 3, 2014. The provider is also known as Jenean Pickard.
Where is Jenean Moore located?
Jenean Moore practices at 34121 N Us Highway 45 Suite 221, Grayslake, IL 60030. The listed phone number is (847) 752-4034.
What is Jenean Moore's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Jenean Moore enrolled in Medicare?
Yes. Jenean Moore is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jenean Moore's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jenean Moore reassigns Medicare benefits to White Stone Partners LLC (Lake Bluff, IL). The 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 Jenean Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jenean Moore was last updated on August 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Mrs. Jenean Moore, M.A., LCPC · NPI 1164822532
Professional provider in Grayslake, Illinois. Individual provider, active in the CMS NPPES registry since September 3, 2014.
## Identity
- **NPI:** 1164822532 (Entity type: Individual)
- **Enumerated:** September 3, 2014
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 178.010280 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 34121 N US HIGHWAY 45, SUITE 221, Grayslake, IL 60030-1768
- **Phone:** (847) 752-4034
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** White Stone Partners LLC (NPI 1801543616, Lake Bluff, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 18, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1164822532) · Data from the CMS NPPES public registry.