Eileen Louise Moore, MA, MS, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH9518 Issued in FL

Practice address

6268 Old Bethel Rd
Crestview, FL 32536-5505

Phone

(850) 353-2677

NPI assigned

Feb 21, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Specialty

Mental Health Counselor

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts, Master of Science

State licenses

Practice roles

Locations

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

• Elevate Hope

  • Clinical Social Worker
  • Crestview, FL
  • NPI 1275126781
  NPD
• Crosspoint United Methodist Church Inc

  • Mental Health Counselor
  • Niceville, FL
  • NPI 1265156459
  NPD (past)

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

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1053580258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6268 OLD BETHEL RD",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325365505",
            "telephone_number": "850-353-2677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6268 OLD BETHEL RD",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325365505",
            "telephone_number": "850-353-2677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "EILEEN",
        "middle_name": "LOUISE",
        "name_prefix": "Prof.",
        "credential": "MA, MS, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-21",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": "MH9518",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH9518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Lizette Monroy, ARNP
• Isabella Rae Flores Montecillo
• Moore Hope Behavioral Health Clinic, LLC
• Christine Moore, RN
• Cynthia Moore, BCBA
• Karol Moore, O.T..
• Kayla Moore
• Moore'S Chiropractic Health Clinic
• Ohamy Marie Morales, OTR/L
• Brianna Morford

• Mental Health Counselor in Crestview, FL
• Providers in Crestview, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.