MRS. DEBORAH B MOORE MED CSAC, LPC
NPI 1386782662
Counselor - Professional in Big Stone Gap, VA

Active since February 01, 2007PECOS Enrolled
3169 2ND AVENUE EAST, BIG STONE GAP, VA 24219(276) 523-8318(276) 523-6964 Get Directions Write a Review

NPPES record last updated: October 11, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Counselor
  • Professional
  • PECOS Enrolled

About DEBORAH MOORE

This page provides the complete NPI Profile along with additional information for Deborah Moore, a provider established in Big Stone Gap, Virginia with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1386782662 assigned on February 2007. The practitioner's primary taxonomy code is 101YP2500X with license number 0701004182 (VA). The provider is registered as an individual and her NPI record was last updated 7 years ago.

NPI
1386782662 Verify this NPI
Provider Name
MRS. DEBORAH B MOORE MED CSAC, LPC
Gender
Female
Entity Type
Individual
Location Address
3169 2ND AVENUE EAST BIG STONE GAP, VA 24219
Location Phone
(276) 523-8318
Location Fax
(276) 523-6964
Mailing Address
1167 SPRATLIN PARK DR GRAY, TN 37615
Mailing Phone
(423) 467-3600
Mailing Fax
(423) 467-3644
Is Sole Proprietor?
No
Enumeration Date
02-01-2007
Last Update Date
10-11-2019
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Professional

Taxonomy Code
101YP2500X
Type
Behavioral Health & Social Service Providers
License No.
0701004182
License State
VA

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101Y00000XBehavioral Health & Social Service Providers

Counselor

LPC 0701004182 (VA)

Medicare Participation & PECOS Enrollment Status

Deborah Moore is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Reviews for MRS. DEBORAH B MOORE MED CSAC, LPC

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Other Providers at the Same Location


The following 11 providers are registered at the same or a nearby location.

Counselor
3169 2ND AVENUE EAST
BIG STONE GAP, VA 24219
Counselor
3169 2ND AVENUE EAST
BIG STONE GAP, VA 24219
Registered Nurse
3169 2ND AVENUE EAST
BIG STONE GAP, VA 24219
Case Manager/Care Coordinator
3169 2ND AVENUE EAST, WISE COUNTY BEHAVIORAL HEALTH SERVICES
BIG STONE GAP, VA 24219
Case Manager/Care Coordinator
3169 2ND AVENUE EAST
BIG STONE GAP, VA 24219
Case Manager/Care Coordinator
3169 2ND AVENUE EAST, WISE COUNTY BEHAVIORAL HEALTH
BIG STONE GAP, VA 24219
Licensed Practical Nurse
3169 2ND AVENUE EAST
BIG STONE GAP, VA 24219
Social Worker (Clinical)
3169 2ND AVENUE EAST, WISE COUNTY BEHAVIORAL HEALTH
BIG STONE GAP, VA 24219
Psychiatry & Neurology (Child & Adolescent Psychiatry)
3169 2ND AVENUE EAST
BIG STONE GAP, VA 24219
Case Manager/Care Coordinator
3169 2ND AVENUE EAST
BIG STONE GAP, VA 24219
Case Manager/Care Coordinator
3169 2ND AVENUE EAST, WISE COUNTY BEHAVIORAL HEALTH
BIG STONE GAP, VA 24219

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1386782662, enumerated as an "individual" on February 01, 2007.

The provider is located at 3169 2ND AVENUE EAST BIG STONE GAP, VA 24219 and the phone number is (276) 523-8318.

Counselor with taxonomy code 101YP2500X and a focus in Professional.