MRS. JENNIFER LYNN MOORE LPCC-S
NPI 1962669713
Counselor - Professional in Hilliard, OH

Q: What is Jennifer Moore's NPI number?

The NPI number for Jennifer Moore is 1962669713. It was assigned to this individual provider in the NPPES registry on May 20, 2008.

Q: What is Jennifer Moore's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jennifer Moore was last updated on April 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since May 20, 2008PECOS Enrolled

3535 FISHINGER BLVD STE 110, HILLIARD, OH 43026(614) 545-9773(614) 689-0184 Get Directions Write a Review

NPPES record last updated: April 1, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 1, 2026, Mar 4, 2019, Oct 22, 2018 and 2 more (5 updates tracked since 2017).

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About Mrs. Jennifer Lynn Moore Lpcc-s NPPES

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

MRS. JENNIFER LYNN MOORE LPCC-S (NPI 1962669713) is an individual professional provider in Hilliard, Ohio, licensed in Ohio (E.0007958-SUPV) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1962669713

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameMRS. JENNIFER LYNN MOORECredential: LPCC-S

Location Address3535 FISHINGER BLVD STE 110Hilliard, OH 43026-2000

Mailing Address1066 Lexington AveMansfield, OH 44907-2250 · (419) 709-8447

Phone(614) 545-9773

Fax(614) 689-0184

Sole ProprietorNo

Medical School CMSOtherGraduated 2002

Enumeration DateMay 20, 2008

Last NPPES UpdateApril 1, 20265 updates tracked since enumeration

NPPES CertifiedApril 1, 2026

✔ NPI 1962669713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in OH · E.0007958-SUPV

3535 FISHINGER BLVD STE 110, Hilliard, OH 43026

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Other Identifiers 1

Medicaid0260387OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Jennifer Lynn Moore Lpcc-s is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID749798122

PECOS Enrollment IDI20250806000583

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 12

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

CHRISTAN ALLISON CNP

Nurse Practitioner (Psychiatric/Mental Health)