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: July 19, 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
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

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

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.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174249163, enumerated as an "individual" on October 12, 2022.

The provider is located at 4110 FITZPATRICK BLVD APT 2401 MONTGOMERY, AL 36116 and the phone number is (251) 508-6900.

Counselor with taxonomy code 101YP2500X and a focus in Professional.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Alabama, Oscar. Please consult your insurance carrier or call the provider to verify.