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COLEEN MOORE
NPI 1730824616
Counselor - Professional in Normal, IL

Active since May 04, 2022PECOS EnrolledAccepts Medicare Assignment
1606 HUNT DR, NORMAL, IL 61761(309) 452-0069 Get Directions Write a Review

NPPES record last updated: May 4, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Coleen Moore NPPES

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

COLEEN MOORE (NPI 1730824616) is an individual professional provider in Normal, Illinois, licensed in Illinois (180004169) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1730824616
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameCOLEEN MOORE
Location Address1606 HUNT DRNormal, IL 61761-2192
Mailing Address1606 Hunt DrNormal, IL 61761-2192 · (309) 452-0069
Phone(309) 452-0069
Sole ProprietorYes
Medical School CMSOtherGraduated 1998
Enumeration DateMay 4, 2022
NPPES CertifiedMay 4, 2022
✔ NPI 1730824616 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 IL · 180004169
1606 HUNT DR, Normal, IL 61761
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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 and accepts Medicare assignment

Coleen Moore 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 ID2466948864
PECOS Enrollment IDI20260112000595
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.

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.

MICHAELA SCHENDEL
Speech-Language Pathologist
1606 HUNT DR
NORMAL, IL 61761
McLean County (309) 452-0069
RACHAEL ELIZABETH ALTHOFF
Speech-Language Pathologist
1606 HUNT DR
NORMAL, IL 61761
McLean County (309) 452-0069
DR. PRAMERN SRIRATANA M.D.
Internal Medicine (Hematology & Oncology)
1606 HUNT DR
NORMAL, IL 61761
McLean County (309) 452-9701
BREANNE DOMINGUEZ
Behavior Analyst
1606 HUNT DR
NORMAL, IL 61761
McLean County (309) 451-8888
DANIELLE BASALAY
Developmental Therapist
1606 HUNT DR
NORMAL, IL 61761
McLean County (309) 452-0069
MELISSA ANN NEWBILL LCSW
Social Worker (Clinical)
1606 HUNT DR
NORMAL, IL 61761
McLean County (309) 451-8888
MADDISON SEIBRING
Social Worker (Clinical)
1606 HUNT DR
NORMAL, IL 61761
McLean County (309) 451-8888
MRS. AMANDA LEE GIBSON OTRL
Occupational Therapist (Pediatrics)
1606 HUNT DR
NORMAL, IL 61761
McLean County (309) 451-0069

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 Coleen Moore's NPI number?

The NPI number for Coleen Moore is 1730824616. It was assigned to this individual provider in the NPPES registry on May 4, 2022.

Where is Coleen Moore located?

Coleen Moore practices at 1606 Hunt Dr, Normal, IL 61761. The listed phone number is (309) 452-0069.

What is Coleen Moore's specialty?

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

Is Coleen Moore enrolled in Medicare?

Yes. Coleen 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.

When was this NPI record last updated?

The NPPES record for Coleen Moore was last updated on May 4, 2022. 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.