HEATHER RENEE MOORE MA, LPC
NPI 1649604885
Counselor - Professional in Tulsa, OK

Q: What is Heather Moore's NPI number?

The NPI number for Heather Moore is 1649604885. It was assigned to this individual provider in the NPPES registry on August 23, 2013. The provider is also known as Heather Renee Jones.

Q: What is Heather Moore's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Heather Moore was last updated on May 26, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 23, 2013PECOS Enrolled

550 S PEORIA AVE, TULSA, OK 74120(918) 588-1900(918) 382-1285 Get Directions Write a Review

NPPES record last updated: May 26, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 26, 2020, Mar 12, 2018 (2 updates tracked since 2018).

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About Heather Renee Moore Ma, Lpc NPPES

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

HEATHER RENEE MOORE MA, LPC (NPI 1649604885) is an individual professional provider in Tulsa, Oklahoma, licensed in Oklahoma (5751) and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1649604885

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameHEATHER RENEE MOORECredential: MA, LPC

Location Address550 S PEORIA AVETulsa, OK 74120-3820

Mailing Address550 S Peoria AveTulsa, OK 74120-3820 · (918) 588-1900 · Fax (918) 382-1285

Phone(918) 588-1900

Fax(918) 382-1285

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateAugust 23, 2013

Last NPPES UpdateMay 26, 20202 updates tracked since enumeration

NPPES CertifiedMay 26, 2020

✔ NPI 1649604885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in OK · 5751

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 5751 (OK)

550 S PEORIA AVE, Tulsa, OK 74120

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Other Names 1

Former Name (1)Heather Renee Jones

Other Identifiers 2

Other13618765OK · Caqh

Medicaid200506310-AOK

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Heather Renee Moore Ma, Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2860844594

PECOS Enrollment IDI20250929002356

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.

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Other Providers at the Same Location NPPES 20

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

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