MS. CONSTANCE ROBIN MOORE LCPC
NPI 1487869434
Counselor - Professional in Rockville, MD

Active since May 13, 2007
4615 HOLLY RD, ROCKVILLE, MD 20853(301) 460-9004 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ms. Constance Robin Moore Lcpc NPPES

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

MS. CONSTANCE ROBIN MOORE LCPC (NPI 1487869434) is an individual professional provider in Rockville, Maryland, licensed in Maryland (LC0089) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1487869434
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. CONSTANCE ROBIN MOORECredential: LCPC
Location Address4615 HOLLY RDRockville, MD 20853-1952
Mailing Address4615 Holly RdRockville, MD 20853-1952 · (301) 460-9004
Sole ProprietorYes
Enumeration DateMay 13, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1487869434 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 MD · LC0089
4615 HOLLY RD, Rockville, MD 20853

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Ms. Constance Robin Moore Lcpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 31, 2024 through January 31, 2026.

Opt-Out Effective DateJanuary 31, 2024
Opt-Out In Effect ThroughJanuary 31, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

Counselor (Professional)
4615 HOLLY RD
ROCKVILLE, MD 20853

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1487869434, enumerated as an "individual" on May 13, 2007.

The provider is located at 4615 HOLLY RD ROCKVILLE, MD 20853 and the phone number is (301) 460-9004.

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