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JENNIFER DANLEE MOORE LPC
NPI 1508385857
Counselor - Professional in Minneapolis, MN

Active since September 18, 2017PECOS Enrolled
3040 17TH AVE S, MINNEAPOLIS, MN 55407(317) 987-6394 Get Directions Write a Review

NPPES record last updated: November 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 30, 2025, Sep 18, 2017 (2 updates tracked since 2017).

About Jennifer Danlee Moore Lpc NPPES

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

JENNIFER DANLEE MOORE LPC (NPI 1508385857) is an individual professional provider in Minneapolis, Minnesota, licensed in Minnesota (5295) and active in the NPI registry since September 2017. The provider is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1508385857
Entity TypeIndividual
Primary Taxonomy101YP2500X
Provider Legal NameJENNIFER DANLEE MOORECredential: LPC
Location Address3040 17TH AVE SMinneapolis, MN 55407-1819
Mailing Address3040 17th Ave SMinneapolis, MN 55407-1819 · (317) 987-6394
Phone(317) 987-6394
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateSeptember 18, 2017
Last NPPES UpdateNovember 30, 20252 updates tracked since enumeration
NPPES CertifiedNovember 30, 2025
✔ NPI 1508385857 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 MN · 5295
3040 17TH AVE S, Minneapolis, MN 55407
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Danlee Moore Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5193204782
PECOS Enrollment IDI20260204002162
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 Jennifer Moore's NPI number?

The NPI number for Jennifer Moore is 1508385857. It was assigned to this individual provider in the NPPES registry on September 18, 2017.

Where is Jennifer Moore located?

Jennifer Moore practices at 3040 17th Ave S, Minneapolis, MN 55407. The listed phone number is (317) 987-6394.

What is Jennifer Moore's specialty?

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

Is Jennifer Moore enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jennifer Moore was last updated on November 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.