JESSICA VANDEVELDE MORENO LMFT
NPI 1285151175
Marriage & Family Therapist in Tifton, GA

Q: What is Jessica Vandevelde Moreno's NPI number?

The NPI number for Jessica Vandevelde Moreno is 1285151175. It was assigned to this individual provider in the NPPES registry on August 23, 2017.

Q: What is Jessica Vandevelde Moreno's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Active since August 23, 2017PECOS Enrolled

601 VIRGINIA AVE N STE 1, TIFTON, GA 31794(229) 233-7992 Get Directions Write a Review

NPPES record last updated: February 13, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 13, 2021, Aug 23, 2017 (2 updates tracked since 2017).

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About Jessica Vandevelde Moreno Lmft NPPES

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

JESSICA VANDEVELDE MORENO LMFT (NPI 1285151175) is an individual marriage & family therapist in Tifton, Georgia and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285151175

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameJESSICA VANDEVELDE MORENOCredential: LMFT

Location Address601 VIRGINIA AVE N STE 1Tifton, GA 31794-4268

Mailing AddressPo Box 1089Omega, GA 31775-1089 · (229) 392-5273

Phone(229) 233-7992

Sole ProprietorNo

Enumeration DateAugust 23, 2017

Last NPPES UpdateFebruary 13, 20212 updates tracked since enumeration

NPPES CertifiedFebruary 13, 2021

✔ NPI 1285151175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

601 VIRGINIA AVE N STE 1, Tifton, GA 31794

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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)

Jessica Vandevelde Moreno Lmft 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.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. TERRI JEANIENE FUNK MFT

Marriage & Family Therapist