EVANNI MOORE
NPI 1790345759
Counselor - Mental Health in Quincy, MA
About Evanni Moore NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EVANNI MOORE (NPI 1790345759) is an individual mental health provider in Quincy, Massachusetts, licensed in Massachusetts (LMHC10005218) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
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
Evanni 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.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
QUINCY, MA 02169
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 Evanni Moore's NPI number?
The NPI number for Evanni Moore is 1790345759. It was assigned to this individual provider in the NPPES registry on June 20, 2019.
Where is Evanni Moore located?
Evanni Moore practices at 2300 Crown Colony Dr Ste 202, Quincy, MA 02169. The listed phone number is (781) 551-0999.
What is Evanni Moore's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Evanni Moore enrolled in Medicare?
Yes. Evanni 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 Evanni Moore was last updated on December 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Evanni Moore · NPI 1790345759
Mental Health provider in Quincy, Massachusetts. Individual provider, active in the CMS NPPES registry since June 20, 2019.
## Identity
- **NPI:** 1790345759 (Entity type: Individual)
- **Enumerated:** June 20, 2019
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** LMHC10005218 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 2300 CROWN COLONY DR STE 202, Quincy, MA 02169-0902
- **Phone:** (781) 551-0999
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** December 17, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1790345759) · Data from the CMS NPPES public registry.