1. Home
  2. Directory
  3. North Carolina
  4. Greensboro
  5. Counselor
  6. NPI Profile

GWENDOLYN MOORE NCC, LCMHC
NPI 1861022857
Counselor - Mental Health in Greensboro, NC

Active since January 19, 2020PECOS EnrolledAccepts Medicare Assignment
1633 NEW GARDEN RD UNIT 211, GREENSBORO, NC 27410(336) 402-6688(336) 458-9696 Get Directions Write a Review

NPPES record last updated: April 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 3, 2025, Jan 4, 2025, Dec 19, 2024 and 2 more (5 updates tracked since 2020).

About Gwendolyn Moore Ncc, Lcmhc NPPES

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

GWENDOLYN MOORE NCC, LCMHC (NPI 1861022857) is an individual mental health provider in Greensboro, North Carolina, licensed in North Carolina (15386) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Greensboro, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1861022857
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameGWENDOLYN MOORECredential: NCC, LCMHC
Location Address1633 NEW GARDEN RD UNIT 211Greensboro, NC 27410-2001
Mailing Address1633 New Garden Rd Unit 211Greensboro, NC 27410-2001 · (336) 402-6688
Phone(336) 402-6688
Fax(336) 458-9696
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateJanuary 19, 2020
Last NPPES UpdateApril 23, 20255 updates tracked since enumeration
NPPES CertifiedApril 23, 2025
✔ NPI 1861022857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NC · 15386
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 15386 (NC)
1633 NEW GARDEN RD UNIT 211, Greensboro, NC 27410
Open in Google Maps ↗

Secondary Practice Location 1

Location 13625 N Elm St Ste 130Greensboro, NC 27455-2604 · Phone (704) 360-3637

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc, UnitedHealthcare.Insurance ›

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

Gwendolyn Moore Ncc, Lcmhc 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 ID5597281170
PECOS Enrollment IDI20250428000546
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.

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 Gwendolyn Moore's NPI number?

The NPI number for Gwendolyn Moore is 1861022857. It was assigned to this individual provider in the NPPES registry on January 19, 2020.

Where is Gwendolyn Moore located?

Gwendolyn Moore practices at 1633 New Garden Rd Unit 211, Greensboro, NC 27410. The listed phone number is (336) 402-6688.

What is Gwendolyn Moore's specialty?

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

Is Gwendolyn Moore enrolled in Medicare?

Yes. Gwendolyn 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.

What insurance does Gwendolyn Moore accept?

Health plans from Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Gwendolyn 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 Gwendolyn Moore was last updated on April 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.