CONNIE JUNG MOORE PHD, LPC
NPI 1902840960
Counselor - Professional in Guthrie, OK
About Connie Jung Moore Phd, Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CONNIE JUNG MOORE PHD, LPC (NPI 1902840960) is an individual professional provider in Guthrie, Oklahoma, licensed in Oklahoma (3379) and active in the NPI registry since June 2006.
NPPES Registry Identity
Specialties & Licenses
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
Connie Jung Moore Phd, 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 February 5, 2024 through February 5, 2026.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1902840960, enumerated as an "individual" on June 16, 2006.
The provider is located at 12352 SPRING CIR GUTHRIE, OK 73044 and the phone number is (405) 473-3453.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Oklahoma, Medica,. Please consult your insurance carrier or call the provider to verify.