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ISAAC MOORE LPC
NPI 1174249163
Counselor - Professional in Montgomery, AL

Active since October 12, 2022PECOS EnrolledAccepts Medicare Assignment
4110 FITZPATRICK BLVD APT 2401, MONTGOMERY, AL 36116(251) 508-6900 Get Directions Write a Review

NPPES record last updated: October 12, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Isaac Moore Lpc NPPES

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

ISAAC MOORE LPC (NPI 1174249163) is an individual professional provider in Montgomery, Alabama, licensed in Alabama (4516) and active in the NPI registry since October 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1174249163
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameISAAC MOORECredential: LPC
Location Address4110 FITZPATRICK BLVD APT 2401Montgomery, AL 36116-4835
Mailing Address4110 Fitzpatrick Blvd Apt 2401Montgomery, AL 36116-4835 · (251) 508-6900
Phone(251) 508-6900
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateOctober 12, 2022
NPPES CertifiedOctober 12, 2022
✔ NPI 1174249163 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 AL · 4516
4110 FITZPATRICK BLVD APT 2401, Montgomery, AL 36116
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, Oscar Insurance Company, UnitedHealthcare.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

Isaac Moore Lpc 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 ID4183169030
PECOS Enrollment IDI20240716000032
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

2

Medicare enrollment records show Isaac Moore reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Gardenia Cove Mental Health PC
4.4 mi
Psychiatry
6771 TAYLOR CIRCLE
Montgomery, AL 36117
  • Reassigned Medicare billing, Alabama enrollment
  • 48 clinicians in this Medicare group
NPI 1063912301 (334) 954-6010
Rivertown Psychiatry, PC
76 mi
Psychiatry
6003 VETERANS PKWY
Columbus, GA 31909
  • Reassigned Medicare billing, Alabama enrollment
  • 10 clinicians in this Medicare group
NPI 1023362852 (706) 223-1933

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 Isaac Moore's NPI number?

The NPI number for Isaac Moore is 1174249163. It was assigned to this individual provider in the NPPES registry on October 12, 2022.

Where is Isaac Moore located?

Isaac Moore practices at 4110 Fitzpatrick Blvd Apt 2401, Montgomery, AL 36116. The listed phone number is (251) 508-6900.

What is Isaac Moore's specialty?

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

Is Isaac Moore enrolled in Medicare?

Yes. Isaac 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 Isaac Moore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Isaac Moore reassigns Medicare benefits to 2 organizations: Gardenia Cove Mental Health PC (Montgomery, AL) and Rivertown Psychiatry, PC (Columbus, 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 Isaac Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Isaac Moore accept?

Health plans from Blue Cross and Blue Shield of Alabama, Oscar Insurance Company and UnitedHealthcare list Isaac 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 Isaac Moore was last updated on October 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.