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MS. ELISABETH J TUDOR LMHC
NPI 1881659183
Counselor - Mental Health in Orange Park, FL

Active since April 19, 2006Opted out of Medicare · through Jun 29, 2028
1409 KINGSLEY AVE STE 9D, ORANGE PARK, FL 32073(904) 269-2931(904) 212-2969 Get Directions Write a Review

NPPES record last updated: October 17, 2024. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Ms. Elisabeth J Tudor Lmhc NPPES

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

MS. ELISABETH J TUDOR LMHC (NPI 1881659183) is an individual mental health provider in Orange Park, Florida, licensed in Florida (MH0002430) and active in the NPI registry since April 2006. She has opted out of Medicare through June 29, 2028.

NPPES Registry Identity

NPI1881659183
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. ELISABETH J TUDORCredential: LMHC
Location Address1409 KINGSLEY AVE STE 9DOrange Park, FL 32073-4580
Mailing Address1409 Kingsley Ave Ste 9dOrange Park, FL 32073-4580 · (904) 269-2931 · Fax (904) 212-2969
Phone(904) 269-2931
Fax(904) 212-2969
Sole ProprietorYes
Enumeration DateApril 19, 2006
Last NPPES UpdateOctober 17, 2024
NPPES CertifiedOctober 17, 2024
✔ NPI 1881659183 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 FL · MH0002430
1409 KINGSLEY AVE STE 9D, Orange Park, FL 32073
Open in Google Maps ↗

Other Names 1

Professional Name (2)Lisa J Moore Llc

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida, UnitedHealthcare.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

Ms. Elisabeth J Tudor Lmhc 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 June 29, 2026 through June 29, 2028.

Opt-Out Effective DateJune 29, 2026
Opt-Out In Effect ThroughJune 29, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LISA J MOORE LLC
Counselor (Mental Health)
1409 KINGSLEY AVE STE 9D
ORANGE PARK, FL 32073
Clay County (904) 571-8701

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 Elisabeth Tudor's NPI number?

The NPI number for Elisabeth Tudor is 1881659183. It was assigned to this individual provider in the NPPES registry on April 19, 2006. The provider is also known as Lisa J Moore LLC.

Where is Elisabeth Tudor located?

Elisabeth Tudor practices at 1409 Kingsley Ave Ste 9D, Orange Park, FL 32073. The listed phone number is (904) 269-2931.

What is Elisabeth Tudor's specialty?

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

Is Elisabeth Tudor enrolled in Medicare?

No. Elisabeth Tudor has opted out of Medicare through June 29, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Elisabeth Tudor accept?

Health plans from Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Elisabeth Tudor 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 Elisabeth Tudor was last updated on October 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.