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JERRY R MOORE LPC, LICDC
NPI 1558845743
Counselor - Professional in Marysville, OH

Active since September 24, 2018PECOS EnrolledAccepts Medicare Assignment
16000 HUNTERS RUN, MARYSVILLE, OH 43040(614) 582-1081 Get Directions Write a Review

NPPES record last updated: April 8, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 8, 2026, Sep 24, 2018 (2 updates tracked since 2018).

About Jerry R Moore Lpc, Licdc NPPES

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

JERRY R MOORE LPC, LICDC (NPI 1558845743) is an individual professional provider in Marysville, Ohio, licensed in Ohio (E.1901574-SUPV) and active in the NPI registry since September 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1558845743
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameJERRY R MOORECredential: LPC, LICDC
Location Address16000 HUNTERS RUNMarysville, OH 43040-9659
Mailing Address16000 Hunters RunMarysville, OH 43040-9659 · (614) 582-1081
Phone(614) 582-1081
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateSeptember 24, 2018
Last NPPES UpdateApril 8, 20262 updates tracked since enumeration
NPPES CertifiedApril 8, 2026
✔ NPI 1558845743 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 OH · E.1901574-SUPV
16000 HUNTERS RUN, Marysville, OH 43040
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jerry R Moore Lpc, Licdc 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 ID8224506225
PECOS Enrollment IDI20260507003461
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Jerry Moore reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cbus Brain Health LLC
23 mi
Multi-Specialty
3535 FISHINGER BLVD STE 110
Hilliard, OH 43026
  • Reassigned Medicare billing, Ohio enrollment
  • 7 clinicians in this Medicare group
NPI 1942910252 (614) 545-9773
Oh Independent Medical Group LLC
26 mi
Family Medicine
3430 OHIO HEALTH PKWY
Columbus, OH 43202
  • Reassigned Medicare billing, Ohio enrollment
  • 174 clinicians in this Medicare group
NPI 1497482111 (614) 566-0152

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Jerry Moore's NPI number?

The NPI number for Jerry Moore is 1558845743. It was assigned to this individual provider in the NPPES registry on September 24, 2018.

Where is Jerry Moore located?

Jerry Moore practices at 16000 Hunters Run, Marysville, OH 43040. The listed phone number is (614) 582-1081.

What is Jerry Moore's specialty?

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

Is Jerry Moore enrolled in Medicare?

Yes. Jerry 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.

Which organizations bill Medicare for Jerry Moore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jerry Moore reassigns Medicare benefits to 2 organizations: Cbus Brain Health LLC (Hilliard, OH) and Oh Independent Medical Group LLC (Columbus, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jerry Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jerry Moore accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Molina Healthcare and Oscar Health Insurance and 2 other insurers list Jerry 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 Jerry Moore was last updated on April 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.