JACQUELINE MOORE LPC
NPI 1245047463
Counselor - Professional in Meridian, ID
About Jacqueline Moore Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACQUELINE MOORE LPC (NPI 1245047463) is an individual professional provider in Meridian, Idaho, licensed in Idaho (4861472) and active in the NPI registry since December 2024. She has opted out of Medicare through April 7, 2027 and maintains a secondary practice location in Meridian.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Jacqueline Moore Lpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 7, 2025 through April 7, 2027.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jacqueline Moore's NPI number?
The NPI number for Jacqueline Moore is 1245047463. It was assigned to this individual provider in the NPPES registry on December 11, 2024.
Where is Jacqueline Moore located?
Jacqueline Moore practices at 3288 E Pine Ave, Meridian, ID 83642. The listed phone number is (208) 888-8886.
What is Jacqueline Moore's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Jacqueline Moore enrolled in Medicare?
No. Jacqueline Moore has opted out of Medicare through April 7, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
What insurance does Jacqueline Moore accept?
Health plans from Moda Health Plan, Inc. list Jacqueline 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 Jacqueline Moore was last updated on October 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Jacqueline Moore, LPC · NPI 1245047463
Professional provider in Meridian, Idaho. Individual provider, active in the CMS NPPES registry since December 11, 2024.
## Identity
- **NPI:** 1245047463 (Entity type: Individual)
- **Enumerated:** December 11, 2024
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 4861472 (Idaho)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3288 E PINE AVE, Meridian, ID 83642-5922
- **Phone:** (208) 888-8886
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through April 7, 2027); services are provided under private contract
## Record status
- **NPPES last updated:** October 15, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1245047463) · Data from the CMS NPPES public registry.