ERIC SHANE MOOR MA, LPC, NCC
NPI 1407299142
Counselor in Jackson, MI

Q: What is Eric Moor's NPI number?

The NPI number for Eric Moor is 1407299142. It was assigned to this individual provider in the NPPES registry on April 11, 2013.

Q: What is Eric Moor's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Eric Moor was last updated on January 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since April 11, 2013PECOS EnrolledAccepts Medicare Assignment

205 N EAST AVE, JACKSON, MI 49201(517) 205-4730 Get Directions Write a Review

NPPES record last updated: January 14, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 14, 2026, May 13, 2020, Jan 27, 2020 (3 updates tracked since 2020).

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About Eric Shane Moor Ma, Lpc, Ncc NPPES

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

ERIC SHANE MOOR MA, LPC, NCC (NPI 1407299142) is an individual counselor in Jackson, Michigan, licensed in Michigan (6401014352) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1407299142

Entity TypeIndividualMale

Primary Taxonomy101Y00000X

Provider Legal NameERIC SHANE MOORCredential: MA, LPC, NCC

Location Address205 N EAST AVEJackson, MI 49201-1753

Mailing Address1 Ford PlDetroit, MI 48202-3450 · (313) 874-4806

Phone(517) 205-4730

Sole ProprietorYes

Medical School CMSOtherGraduated 2014

Enumeration DateApril 11, 2013

Last NPPES UpdateJanuary 14, 20263 updates tracked since enumeration

NPPES CertifiedJanuary 14, 2026

✔ NPI 1407299142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in MI · 6401014352

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

205 N EAST AVE, Jackson, MI 49201

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Eric Shane Moor Ma, Lpc, Ncc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8527494632

PECOS Enrollment IDI20260115004010

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 20

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

SAMANTHA RENE DANEK PA-C

Physician Assistant