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KATHLEEN A MOORE LPC
NPI 1346572740
Counselor - Professional in Monroe, MI

Active since February 10, 2010PECOS Enrolled
1001 S RAISINVILLE RD, MONROE, MI 48161(734) 384-0315(734) 243-5564 Get Directions Write a Review

NPPES record last updated: July 17, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kathleen A Moore Lpc NPPES

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

KATHLEEN A MOORE LPC (NPI 1346572740) is an individual professional provider in Monroe, Michigan, licensed in Michigan (6401011331) and active in the NPI registry since February 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1346572740
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKATHLEEN A MOORECredential: LPC
Location Address1001 S RAISINVILLE RDMonroe, MI 48161-9754
Mailing Address1001 S Raisinville RdMonroe, MI 48161-9754 · (734) 384-0315 · Fax (734) 243-5564
Phone(734) 384-0315
Fax(734) 243-5564
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateFebruary 10, 2010
Last NPPES UpdateJuly 17, 2026
NPPES CertifiedJuly 17, 2026
✔ NPI 1346572740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MI · 6401011331
Also ListedCounselorTaxonomy 101Y00000X · License 6401011331 (MI)
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 6401011331 (MI)
1001 S RAISINVILLE RD, Monroe, MI 48161
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID4183180102
PECOS Enrollment IDI20260730001398
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.

Medicare Billing Reassignment

Medicare enrollment records show Kathleen Moore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PA
1,129 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Michigan enrollment
  • 411 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

CRYSTAL PALMER
Social Worker (Clinical)
1001 S RAISINVILLE RD
MONROE, MI 48161
Monroe County (734) 243-7340
KYLEIGH PETERSEN
Social Worker (Clinical)
1001 S RAISINVILLE RD
MONROE, MI 48161
Monroe County (734) 384-0083
MISS ELIZABETH MARY VAN OEVEREN
Social Worker
1001 S RAISINVILLE RD
MONROE, MI 48161
Monroe County (734) 243-7340
JENNIFER BURROUS
Social Worker (Clinical)
1001 S RAISINVILLE RD
MONROE, MI 48161
Monroe County (734) 243-7340
STEPHAN L PIETSZAK BA
Social Worker
1001 S RAISINVILLE RD
MONROE, MI 48161
Monroe County (734) 243-7340
TAYLOR OST
Community Health Worker
1001 S RAISINVILLE RD
MONROE, MI 48161
Monroe County (734) 384-8347
MR. LEWIS L. LACHOWICZ LBSW
Social Worker
1001 S RAISINVILLE RD
MONROE, MI 48161
Monroe County (734) 243-7340
BRITTANY GRASS
Community Health Worker
1001 S RAISINVILLE RD
MONROE, MI 48161
Monroe County (734) 384-0458

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 Kathleen Moore's NPI number?

The NPI number for Kathleen Moore is 1346572740. It was assigned to this individual provider in the NPPES registry on February 10, 2010.

Where is Kathleen Moore located?

Kathleen Moore practices at 1001 S Raisinville Rd, Monroe, MI 48161. The listed phone number is (734) 384-0315.

What is Kathleen Moore's specialty?

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

Is Kathleen Moore enrolled in Medicare?

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

Which organization bills Medicare for Kathleen Moore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Moore reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kathleen Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kathleen Moore was last updated on July 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.