MOMENT OF CHANGE COUNSELING SERVICES, PLLC
NPI 1972123487
Community/Behavioral Health in Henderson, NC
About Moment Of Change Counseling Services, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MOMENT OF CHANGE COUNSELING SERVICES, PLLC (NPI 1972123487) is a healthcare organization registered as a community/behavioral health in Henderson, North Carolina and active in the NPI registry since April 2020. The organization maintains a secondary practice location in Henderson and lists Jamie Washington, Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Moment Of Change Counseling Services, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Moment Of Change Counseling Services, PLLC, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Moment Of Change Counseling Services, PLLC's NPI number?
The NPI number for Moment Of Change Counseling Services, PLLC is 1972123487. It was assigned to this organization in the NPPES registry on April 24, 2020.
Where is Moment Of Change Counseling Services, PLLC located?
Moment Of Change Counseling Services, PLLC is located at 106 Wortham Ct, Henderson, NC 27537. The listed phone number is (252) 320-9903.
What is Moment Of Change Counseling Services, PLLC's specialty?
The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.
Is Moment Of Change Counseling Services, PLLC enrolled in Medicare?
Yes. Moment Of Change Counseling Services, PLLC is registered in the Medicare PECOS enrollment system.
When is Moment Of Change Counseling Services, PLLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (North Carolina, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Moment Of Change Counseling Services, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Moment Of Change Counseling Services, PLLC, in Clinical Social Worker and Mental Health Counselor. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Moment Of Change Counseling Services, PLLC accept?
Health plans from Blue Cross and Blue Shield of NC list Moment Of Change Counseling Services, PLLC 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 Moment Of Change Counseling Services, PLLC was last updated on January 9, 2023. 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.
# Moment Of Change Counseling Services, Pllc · NPI 1972123487
Community/Behavioral Health organization in Henderson, North Carolina. Organization record, active in the CMS NPPES registry since April 24, 2020.
## Identity
- **NPI:** 1972123487 (Entity type: Organization)
- **Enumerated:** April 24, 2020
- **Primary specialty:** Community/Behavioral Health · taxonomy 251S00000X
- **Organization subpart:** No
- **Authorized official:** Jamie Washington, DIRECTOR
## Practice location
- **Address:** 106 WORTHAM CT, Henderson, NC 27537-4500
- **Phone:** (252) 320-9903 · **Fax:** (252) 203-4050
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, North Carolina, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Mental Health Counselor (2), Clinical Social Worker (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 9, 2023
- **Other identifiers:** Medicaid 6103107 (NC)
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Source: [NPI Profile](https://npiprofile.com/npi/1972123487) · Data from the CMS NPPES public registry.