CARMELLA I MOORE LMHC
NPI 1194122473
Counselor - Mental Health in Port Saint Lucie, FL

Active since December 02, 2014PECOS EnrolledAccepts Medicare Assignment
2900 SE TREASURE ISLAND RD, PORT SAINT LUCIE, FL 34952(771) 208-9447(772) 408-9619 Get Directions Write a Review

NPPES record last updated: May 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 30, 2025, May 2, 2021 (2 updates tracked since 2021).

About Carmella I Moore Lmhc NPPES

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

CARMELLA I MOORE LMHC (NPI 1194122473) is an individual mental health provider in Port Saint Lucie, Florida, licensed in Florida (MH17480) and active in the NPI registry since December 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in Jensen Beach, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1194122473
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCARMELLA I MOORECredential: LMHC
Location Address2900 SE TREASURE ISLAND RDPort Saint Lucie, FL 34952-5773
Mailing Address2900 Se Treasure Island RdPort Saint Lucie, FL 34952-5773 · (772) 208-9447 · Fax (772) 408-9619
Fax(772) 408-9619
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateDecember 2, 2014
Last NPPES UpdateMay 30, 20252 updates tracked since enumeration
NPPES CertifiedMay 30, 2025
NPI 1194122473 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in FL · MH17480
2900 SE TREASURE ISLAND RD, Port Saint Lucie, FL 34952

Secondary Practice Location 1

Location 11140 NE Wright AveJensen Beach, FL 34957-6249 · Phone (772) 208-9447 · Fax (772) 408-9619

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

Carmella I 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 ID5890134076
PECOS Enrollment IDI20240422000027
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 Carmella Moore's NPI number?

The NPI number for Carmella Moore is 1194122473. It was assigned to this individual provider in the NPPES registry on December 2, 2014.

Where is Carmella Moore located?

Carmella Moore practices at 2900 SE Treasure Island Rd, Port Saint Lucie, FL 34952. The listed phone number is (771) 208-9447.

What is Carmella Moore's specialty?

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

Is Carmella Moore enrolled in Medicare?

Yes. Carmella 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 Carmella Moore accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Carmella 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 Carmella Moore was last updated on May 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.