MICHAEL MOORE LPC
NPI 1285007757
Counselor - Addiction (Substance Use Disorder) in Waukegan, IL

Active since November 05, 2015PECOS Enrolled
1113 GREENWOOD AVE, WAUKEGAN, IL 60085(847) 244-4434 Get Directions Write a Review

NPPES record last updated: November 5, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael Moore Lpc NPPES

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

MICHAEL MOORE LPC (NPI 1285007757) is an individual addiction (substance use disorder) provider in Waukegan, Illinois and active in the NPI registry since November 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285007757
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMICHAEL MOORECredential: LPC
Location Address1113 GREENWOOD AVEWaukegan, IL 60085
Mailing Address4215 Hickory Hills Dr # P, Apt 111Waukegan, IL 60087-5318 · (630) 370-2528
Sole ProprietorNo
Enumeration DateNovember 5, 2015
NPI 1285007757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
1113 GREENWOOD AVE, Waukegan, IL 60085

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 (PECOS)

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

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 Michael Moore's NPI number?

The NPI number for Michael Moore is 1285007757. It was assigned to this individual provider in the NPPES registry on November 5, 2015.

Where is Michael Moore located?

Michael Moore practices at 1113 Greenwood Ave, Waukegan, IL 60085. The listed phone number is (847) 244-4434.

What is Michael Moore's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Michael Moore enrolled in Medicare?

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

What insurance does Michael Moore accept?

Health plans from Providence Health Plan list Michael 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 Michael Moore was last updated on November 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.