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JASON LAMONT MOORE LPC
NPI 1265241053
Counselor - Professional in Garfield Heights, OH

Active since January 06, 2025PECOS Enrolled
7608 JEFFRIES AVE, GARFIELD HEIGHTS, OH 44105(317) 889-3166 Get Directions Write a Review

NPPES record last updated: January 6, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jason Lamont Moore Lpc NPPES

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

JASON LAMONT MOORE LPC (NPI 1265241053) is an individual professional provider in Garfield Heights, Ohio, licensed in Ohio (C.2103349) and active in the NPI registry since January 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1265241053
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameJASON LAMONT MOORECredential: LPC
Location Address7608 JEFFRIES AVEGarfield Heights, OH 44105-6514
Mailing Address7608 Jeffries AveGarfield Heights, OH 44105-6514
Phone(317) 889-3166
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateJanuary 6, 2025
NPPES CertifiedJanuary 6, 2025
✔ NPI 1265241053 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 OH · C.2103349
7608 JEFFRIES AVE, Garfield Heights, OH 44105
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jason Lamont Moore Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2567926819
PECOS Enrollment IDI20260708003665
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 Jason Moore's NPI number?

The NPI number for Jason Moore is 1265241053. It was assigned to this individual provider in the NPPES registry on January 6, 2025.

Where is Jason Moore located?

Jason Moore practices at 7608 Jeffries Ave, Garfield Heights, OH 44105. The listed phone number is (317) 889-3166.

What is Jason Moore's specialty?

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

Is Jason Moore enrolled in Medicare?

Yes. Jason Moore is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jason Moore was last updated on January 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.