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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: October 25, 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
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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 AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC, Cigna Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Gwendolyn Moore reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Moses H. Cone Memorial Hospital Operating Corporation
3.7 mi
Internal Medicine
509-E NORTH ELAM AVENUE, 3RD FLOOR
Greensboro, NC 27403
  • Reassigned Medicare billing, North Carolina enrollment
  • 835 clinicians in this Medicare group
NPI 1013265909 (336) 832-1970
Integrative Wellness Solutions, PLLC
67 mi
Psychologist
122 GATEWAY BLVD STE C
Mooresville, NC 28117
  • Reassigned Medicare billing, North Carolina enrollment
  • 197 clinicians in this Medicare group
NPI 1447760871 (704) 360-3637
Grow Healthcare Group PA
713 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, North Carolina enrollment
  • 712 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Which organizations bill Medicare for Gwendolyn Moore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gwendolyn Moore reassigns Medicare benefits to 3 organizations: The Moses H. Cone Memorial Hospital Operating Corporation (Greensboro, NC), Integrative Wellness Solutions, PLLC (Mooresville, NC) and Grow Healthcare Group PA (Miami, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gwendolyn Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gwendolyn Moore accept?

Health plans from AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC, Cigna Healthcare, 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 18 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.