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CHRISTARDRA MOORE LPC
NPI 1942269394
Counselor - Professional in Monroe, LA

Active since March 22, 2006PECOS EnrolledAccepts Medicare Assignment
4800 S GRAND ST, MONROE, LA 71202(318) 362-3339(318) 362-3336 Get Directions Write a Review

NPPES record last updated: August 30, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Christardra Moore Lpc NPPES

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

CHRISTARDRA MOORE LPC (NPI 1942269394) is an individual professional provider in Monroe, Louisiana, licensed in Louisiana (4636) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1942269394
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameCHRISTARDRA MOORECredential: LPC
Location Address4800 S GRAND STMonroe, LA 71202-6412
Mailing Address2513 Ferrand StMonroe, LA 71201-3210 · (318) 362-3270 · Fax (318) 362-5051
Phone(318) 362-3339
Fax(318) 362-3336
Sole ProprietorYes
Medical School CMSOtherGraduated 2002
Enumeration DateMarch 22, 2006
Last NPPES UpdateAugust 30, 2022
NPPES CertifiedAugust 30, 2022
✔ NPI 1942269394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses✔ Licensed in LA · 4636✔ Licensed in AR · P0704014
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License A0305049 (AR)
4800 S GRAND ST, Monroe, LA 71202
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Other Names 1

Former Name (1)Christardra Johnson

Other Identifiers 1

Medicaid3758342LA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana.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

Christardra Moore Lpc 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 ID1658729512
PECOS Enrollment IDI20240219002914
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.

Other Providers at the Same Location NPPES 20

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

SARAH MICHELLE WEEKS LPN
Licensed Practical Nurse
4800 S GRAND ST
MONROE, LA 71202
Ouachita Parish (318) 362-5108
MS. SHEKESHA NICOLE WHITE LPN
Licensed Practical Nurse
4800 S GRAND ST
MONROE, LA 71202
Ouachita Parish (318) 362-3339
ADRIENNE C CRAWFORD
Peer Specialist
4800 S GRAND ST
MONROE, LA 71202
Ouachita Parish (318) 362-3339
MRS. DELORES G HAWTHORNE RN
Registered Nurse (Psychiatric/Mental Health, Adult)
4800 S GRAND ST
MONROE, LA 71202
Ouachita Parish (318) 362-3339
NORTHEAST DELTA HUMAN SERVICES AUTHORITY
Clinic/Center (Mental Health (Including Community Mental Health Center))
4800 S GRAND ST
MONROE, LA 71202
Ouachita Parish (318) 362-3339
MS. DORIS S. BROADNAX
Counselor (Addiction (Substance Use Disorder))
4800 S GRAND ST
MONROE, LA 71202
Ouachita Parish (318) 362-3339
DEPARTMENT OF HEALTH AND HOSPITALS
Counselor (Addiction (Substance Use Disorder))
4800 S GRAND ST
MONROE, LA 71202
Ouachita Parish (318) 362-3339
MRS. PATRICIA MAE BLASER-BAAS CAC 1149
Counselor (Addiction (Substance Use Disorder))
4800 S GRAND ST
MONROE, LA 71202
Ouachita Parish (318) 362-3339

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 Christardra Moore's NPI number?

The NPI number for Christardra Moore is 1942269394. It was assigned to this individual provider in the NPPES registry on March 22, 2006. The provider is also known as Christardra Johnson.

Where is Christardra Moore located?

Christardra Moore practices at 4800 S Grand St, Monroe, LA 71202. The listed phone number is (318) 362-3339.

What is Christardra Moore's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Christardra Moore enrolled in Medicare?

Yes. Christardra 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 Christardra Moore accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Christardra 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 Christardra Moore was last updated on August 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.