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EVAN MOORE
NPI 1750042982
Counselor - Mental Health in New York, NY

Active since January 10, 2022PECOS Enrolled
175 E 94TH ST APT 1, NEW YORK, NY 10128(917) 674-3421 Get Directions Write a Review

NPPES record last updated: January 21, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 21, 2022, Jan 10, 2022 (2 updates tracked since 2022).

About Evan Moore NPPES

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

EVAN MOORE (NPI 1750042982) is an individual mental health provider in New York, New York, licensed in New York (P113831) and active in the NPI registry since January 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750042982
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameEVAN MOORE
Location Address175 E 94TH ST APT 1New York, NY 10128-2905
Mailing Address184 Suydam St Apt 1rBrooklyn, NY 11221-3392
Phone(917) 674-3421
Sole ProprietorNo
Enumeration DateJanuary 10, 2022
Last NPPES UpdateJanuary 21, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 21, 2022
✔ NPI 1750042982 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 NY · P113831
175 E 94TH ST APT 1, New York, NY 10128
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Evan Moore 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.

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.

JILLIAN MAY
Social Worker
175 E 94TH ST APT 1
NEW YORK, NY 10128
New York County (917) 674-3421
MACKENZIE MULLEN
Social Worker (Clinical)
175 E 94TH ST APT 1
NEW YORK, NY 10128
New York County (413) 854-8445
MR. KEVIN MONTIEL LMSW
Social Worker
175 E 94TH ST APT 1
NEW YORK, NY 10128
New York County (929) 265-2949
AMY GOTTHEIMER
Social Worker (Clinical)
175 E 94TH ST APT 1
NEW YORK, NY 10128
New York County (347) 998-4206
VALERIE SHALAMOV LCSW
Social Worker (Clinical)
175 E 94TH ST APT 1
NEW YORK, NY 10128
New York County (833) 775-6252
DYNISHA AUTRY
Social Worker
175 E 94TH ST APT 1
NEW YORK, NY 10128
New York County (917) 674-3421
ARIEL GLUECK
Social Worker
175 E 94TH ST APT 1
NEW YORK, NY 10128
New York County (646) 461-2536
EMILY CRUZ LMSW
Social Worker
175 E 94TH ST APT 1
NEW YORK, NY 10128
New York County (917) 674-3421

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 Evan Moore's NPI number?

The NPI number for Evan Moore is 1750042982. It was assigned to this individual provider in the NPPES registry on January 10, 2022.

Where is Evan Moore located?

Evan Moore practices at 175 E 94th St Apt 1, New York, NY 10128. The listed phone number is (917) 674-3421.

What is Evan Moore's specialty?

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

Is Evan Moore enrolled in Medicare?

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

What insurance does Evan Moore accept?

Health plans from Oscar Health list Evan 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 Evan Moore was last updated on January 21, 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.