JESSICA MOORE LPC
NPI 1720718240
Counselor - Mental Health in West Columbia, SC

Active since June 16, 2022PECOS Enrolled
671 CHEEHAW AVE, WEST COLUMBIA, SC 29170(803) 477-6255 Get Directions Write a Review

NPPES record last updated: November 17, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jessica Moore Lpc NPPES

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

JESSICA MOORE LPC (NPI 1720718240) is an individual mental health provider in West Columbia, South Carolina, licensed in South Carolina (10429) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720718240
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJESSICA MOORECredential: LPC
Location Address671 CHEEHAW AVEWest Columbia, SC 29170-2276
Mailing Address671 Cheehaw AveWest Columbia, SC 29170-2276 · (803) 477-6255
Sole ProprietorYes
Enumeration DateJune 16, 2022
Last NPPES UpdateNovember 17, 2024
NPPES CertifiedNovember 17, 2024
✔ NPI 1720718240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in SC · 10429
671 CHEEHAW AVE, West Columbia, SC 29170

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Moore Lpc 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.

Medicare Billing Reassignment

Medicare enrollment records show Jessica Moore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health
215 RONNIE CT STE C
Myrtle Beach, SC 29579
  • Reassigned Medicare billing, South Carolina enrollment
  • 56 clinicians in this Medicare group

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 Jessica Moore's NPI number?

The NPI number for Jessica Moore is 1720718240. It was assigned to this individual provider in the NPPES registry on June 16, 2022.

Where is Jessica Moore located?

Jessica Moore practices at 671 Cheehaw Ave, West Columbia, SC 29170. The listed phone number is (803) 477-6255.

What is Jessica Moore's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Jessica Moore enrolled in Medicare?

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

Which organization bills Medicare for Jessica Moore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Moore reassigns Medicare benefits to Oceanic Counseling Group LLC (Myrtle Beach, SC). The 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 Jessica Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jessica Moore accept?

Health plans from BlueCross BlueShield of South Carolina and UnitedHealthcare list Jessica 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 Jessica Moore was last updated on November 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.