JUANESE MOORE LPC
NPI 1770067498
Counselor - Mental Health in Tucker, GA
About Juanese Moore Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JUANESE MOORE LPC (NPI 1770067498) is an individual mental health provider in Tucker, Georgia, licensed in Georgia (LPC010471) and active in the NPI registry since September 2018. She has opted out of Medicare through September 3, 2027 and maintains a secondary practice location in Loganville.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Juanese Moore Lpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 3, 2025 through September 3, 2027.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Juanese Moore's NPI number?
The NPI number for Juanese Moore is 1770067498. It was assigned to this individual provider in the NPPES registry on September 18, 2018.
Where is Juanese Moore located?
Juanese Moore practices at 4500 Hugh Howell Rd Ste 620D, Tucker, GA 30084. The listed phone number is (770) 609-7288.
What is Juanese Moore's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Juanese Moore enrolled in Medicare?
No. Juanese Moore has opted out of Medicare through September 3, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
What insurance does Juanese Moore accept?
Health plans from UnitedHealthcare list Juanese 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 Juanese Moore was last updated on March 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Juanese Moore, LPC · NPI 1770067498
Mental Health provider in Tucker, Georgia. Individual provider, active in the CMS NPPES registry since September 18, 2018.
## Identity
- **NPI:** 1770067498 (Entity type: Individual)
- **Enumerated:** September 18, 2018
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** LPC010471 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4500 HUGH HOWELL RD STE 620D, Tucker, GA 30084-4720
- **Phone:** (770) 609-7288 · **Fax:** (470) 777-2790
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through September 3, 2027); services are provided under private contract
## Record status
- **NPPES last updated:** March 25, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1770067498) · Data from the CMS NPPES public registry.