DEJA MOORE-GRANT LLPC
NPI 1366165540
Counselor - Mental Health in Detroit, MI
About Deja Moore-grant Llpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DEJA MOORE-GRANT LLPC (NPI 1366165540) is an individual mental health provider in Detroit, Michigan, licensed in Michigan (6451022348) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS and is a graduate of Wayne State University School Of Medicine (2022).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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)
Deja Moore-grant Llpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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 Deja Moore-grant's NPI number?
The NPI number for Deja Moore-grant is 1366165540. It was assigned to this individual provider in the NPPES registry on September 22, 2022. The provider is also known as Deja A Moore-Grant.
Where is Deja Moore-grant located?
Deja Moore-grant practices at 2939 Russell St, Detroit, MI 48207. The listed phone number is (313) 396-5300.
What is Deja Moore-grant's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Deja Moore-grant enrolled in Medicare?
Yes. Deja Moore-grant is registered in the Medicare PECOS enrollment system.
What insurance does Deja Moore-grant accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company, Priority Health and UnitedHealthcare list Deja Moore-grant 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 Deja Moore-grant was last updated on September 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Deja Moore-Grant, LLPC · NPI 1366165540
Mental Health provider in Detroit, Michigan. Individual provider, active in the CMS NPPES registry since September 22, 2022.
## Identity
- **NPI:** 1366165540 (Entity type: Individual)
- **Enumerated:** September 22, 2022
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 6451022348 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 2939 RUSSELL ST, Detroit, MI 48207-4825
- **Phone:** (313) 396-5300
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Wayne State University School Of Medicine, class of 2022
## Record status
- **NPPES last updated:** September 22, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1366165540) · Data from the CMS NPPES public registry.