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LATREASE R MOORE LMHC
NPI 1497114920
Psychologist - Clinical in Utica, NY

Active since February 11, 2016PECOS Enrolled
1612 GENESEE ST, UTICA, NY 13502(315) 724-5173 Get Directions Write a Review

NPPES record last updated: December 1, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 1, 2021, May 18, 2016, Feb 11, 2016 (3 updates tracked since 2016).

About Latrease R Moore Lmhc NPPES

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

LATREASE R MOORE LMHC (NPI 1497114920) is an individual clinical provider in Utica, New York, licensed in New York (024435-01) and active in the NPI registry since February 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497114920
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameLATREASE R MOORECredential: LMHC
Location Address1612 GENESEE STUtica, NY 13502-5425
Mailing Address1612 Genesee StUtica, NY 13502-5425 · (315) 724-5173
Phone(315) 724-5173
Sole ProprietorNo
Enumeration DateFebruary 11, 2016
Last NPPES UpdateDecember 1, 20213 updates tracked since enumeration
NPPES CertifiedDecember 1, 2021
✔ NPI 1497114920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in NY · 024435-01
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 005071 (NY)
1612 GENESEE ST, Utica, NY 13502
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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)

Latrease R Moore Lmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13502 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$166.88 typical visit price
range $54.87 – $166.88
Typical copayment $41.72 (range $13.71 – $41.72)
Most-billed visit code 99205
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

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

MS. MEREDITH CLAIRE SALISBURY MSW
Student in an Organized Health Care Education/Training Program
1612 GENESEE ST
UTICA, NY 13502
Oneida County (315) 724-5173
MELINDA GRACE MCCABE LMHC
Counselor (Mental Health)
1612 GENESEE ST
UTICA, NY 13502
Oneida County (315) 724-5173
DAVID G SCHLAEGEL LCSW-R
Social Worker (Clinical)
1612 GENESEE ST
UTICA, NY 13502
Oneida County (315) 724-5173
DAVID JORDAN
Counselor (Mental Health)
1612 GENESEE ST
UTICA, NY 13502
Oneida County (315) 724-5173
SAMARITAN COUNSELING CENTER OF THE MOHAWK VALLEY, INC
Social Worker
1612 GENESEE ST
UTICA, NY 13502
Oneida County (315) 724-5173
SAMARITAN COUNSELING CENTER OF THE MOHAWK VALLEY, INC
Counselor (Mental Health)
1612 GENESEE ST
UTICA, NY 13502
Oneida County (315) 724-5173
MRS. KRISTIE C BAILEY LMFT
Marriage & Family Therapist
1612 GENESEE ST
UTICA, NY 13502
Oneida County (315) 724-5173
AMANDA S HOLBROOK LMHC
Counselor (Mental Health)
1612 GENESEE ST
UTICA, NY 13502
Oneida County (315) 724-5173

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 Latrease Moore's NPI number?

The NPI number for Latrease Moore is 1497114920. It was assigned to this individual provider in the NPPES registry on February 11, 2016.

Where is Latrease Moore located?

Latrease Moore practices at 1612 Genesee St, Utica, NY 13502. The listed phone number is (315) 724-5173.

What is Latrease Moore's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Latrease Moore enrolled in Medicare?

Yes. Latrease Moore is registered in the Medicare PECOS enrollment system.

What insurance does Latrease Moore accept?

Health plans from Providence Health Plan list Latrease Moore 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 Latrease Moore was last updated on December 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.