Individual provider Active NPI

Lavonya Ann Moore, LPCMH

  • Mental Health Counselor
  • Wilmington, DE
National Provider Identifier
1003431594
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PC-0001009 Issued in DE
Practice address
1601 Milltown Rd Ste 13
Wilmington, DE 19808-4084
Phone
(302) 683-4938
Fax
(302) 417-0418
NPI assigned
Jun 10, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC012774 PA
Professional Counselor 101YP2500X PC-0001009 DE
Mental Health Counselor 101YM0800X PC-0001009 DE Primary

Addresses

Primary practice location

1601 Milltown Rd Ste 13
Wilmington, DE 19808-4084

Mailing address

1601 Milltown Rd Ste 13
Wilmington, DE 19808-4084
Phone (302) 683-4938

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240223000377 DE Practitioner - Mental Health Counselor 1557705019 Reassigns benefits to 1 organization
I20240520001427 PA Practitioner - Mental Health Counselor 1557705019 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC-0001009DEMDProfessional Counselor
PC012774PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lvi Counseling and Recovery LLC Professional CurrentSince Jun 30, 2025 Accepting new patients
Supportive Care of Pennsylvania LLC CurrentSince Apr 15, 2024 Accepting new patients
Teladoc Health Medical Group, P.a. Mental Health Current Accepting new patients

Locations

600 N Broad St
Ste 5
Middletown, DE 19709
Phone (302) 219-3793

1 Chestnut Hill Plz
#1197
Newark, DE 19713

200 Continental Dr
Ste 401
Newark, DE 19713
Phone (302) 238-6200

1201 Philadelphia Pike
Wilmington, DE 19809
Phone (302) 798-4400

1601 Milltown Rd
Ste 13
Wilmington, DE 19808
Phone (302) 683-4938

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

2109 Red Lion Rd
Philadelphia, PA 19115
Phone (215) 213-7000

Interoperability endpoints

  • Direct secure messaging: lavonyamoore@tdh.allscriptsdirect.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1591747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1003431594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 MILLTOWN RD STE 13",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198084084",
            "telephone_number": "302-683-4938",
            "fax_number": "302-417-0418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 MILLTOWN RD STE 13",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198084084",
            "telephone_number": "302-683-4938",
            "fax_number": "302-417-0418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "LAVONYA",
        "middle_name": "ANN",
        "credential": "LPCMH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-10",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC012774",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "DE",
            "license": "PC-0001009",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "DE",
            "license": "PC-0001009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.