1. Home
  2. Directory
  3. Pennsylvania
  4. Philadelphia
  5. Counselor
  6. NPI Profile

DR. ERIC MOORE PHD
NPI 1417805540
Counselor - Professional in Philadelphia, PA

Active since March 16, 2026PECOS EnrolledAccepts Medicare Assignment
4064 CONSHOHOCKEN AVE # A31, PHILADELPHIA, PA 19131(248) 217-5743 Get Directions Write a Review

NPPES record last updated: April 17, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 17, 2026, Mar 16, 2026 (2 updates tracked since 2026).

About Dr. Eric Moore Phd NPPES

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

DR. ERIC MOORE PHD (NPI 1417805540) is an individual professional provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (PC020122) and active in the NPI registry since March 2026. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1417805540
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameDR. ERIC MOORECredential: PHD
Location Address4064 CONSHOHOCKEN AVE # A31Philadelphia, PA 19131-2826
Mailing Address4064 Conshohocken Ave, A 31Philadelphia, PA 19131-2826 · (248) 217-5743
Phone(248) 217-5743
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateMarch 16, 2026
Last NPPES UpdateApril 17, 20262 updates tracked since enumeration
NPPES CertifiedApril 17, 2026
✔ NPI 1417805540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in PA · PC020122
4064 CONSHOHOCKEN AVE # A31, Philadelphia, PA 19131
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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

Dr. Eric Moore Phd 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 ID2668946419
PECOS Enrollment IDI20260701004888
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.

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 Eric Moore's NPI number?

The NPI number for Eric Moore is 1417805540. It was assigned to this individual provider in the NPPES registry on March 16, 2026.

Where is Eric Moore located?

Eric Moore practices at 4064 Conshohocken Ave # A31, Philadelphia, PA 19131. The listed phone number is (248) 217-5743.

What is Eric Moore's specialty?

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

Is Eric Moore enrolled in Medicare?

Yes. Eric Moore is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Eric Moore was last updated on April 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.