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. She has opted out of Medicare through February 5, 2028.
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, 2028.
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 Connie Moore's NPI number?
The NPI number for Connie Moore is 1902840960. It was assigned to this individual provider in the NPPES registry on June 16, 2006.
Where is Connie Moore located?
Connie Moore practices at 12352 Spring Cir, Guthrie, OK 73044. The listed phone number is (405) 473-3453.
What is Connie Moore's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Connie Moore enrolled in Medicare?
No. Connie Moore has opted out of Medicare through February 5, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
What insurance does Connie Moore accept?
Health plans from Blue Cross and Blue Shield of Oklahoma, Medica, Mending Health and UnitedHealthcare list Connie 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 Connie Moore was last updated on September 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Connie Jung Moore, PHD, LPC · NPI 1902840960
Professional provider in Guthrie, Oklahoma. Individual provider, active in the CMS NPPES registry since June 16, 2006.
## Identity
- **NPI:** 1902840960 (Entity type: Individual)
- **Enumerated:** June 16, 2006
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 3379 (Oklahoma)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 12352 SPRING CIR, Guthrie, OK 73044-9772
- **Phone:** (405) 473-3453
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through February 5, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** September 19, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1902840960) · Data from the CMS NPPES public registry.