Active NPI
Rebecca Lynn Moorman, LPCC
- Professional Counselor
- Owensboro, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 102124
- Practice address
- 2211 Mayfair Dr Ste 409
Owensboro, KY 42301-4570 - Phone
- (270) 417-7980
- Fax
- (270) 417-7989
- NPI assigned
- Sep 14, 2006
- Last updated
- Nov 27, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 102124 | KY | Primary |
| Professional Counselor | 101YP2500X | 0591 | KY |
Addresses
Primary practice location
2211 Mayfair Dr Ste 409
Owensboro, KY 42301-4570
Mailing address
PO Box 23229
Owensboro, KY 42304-3229
Phone (270) 688-1330
Other practice location 1
57 Dora Ln
Greenup, KY 41144-1187
Phone (606) 473-7333
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30610026 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2211 Mayfair Dr
Suite 409
Owensboro, KY 42301-4570
Phone (270) 417-7980
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0591 | KY | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Owensboro Health Medical Group, Inc | Professional | Current | Accepting new patients |
| Owensboro Health Medical Group Inc | Current | Accepting new patients | |
| Owensboro Health Medical Group Inc | Current | Accepting new patients | |
| Pathways, Inc | Past | Accepting new patients | |
| Pathways Inc | Past | Accepting new patients |
Locations
2211 Mayfair Dr
Ste 102
Owensboro, KY 42301
Phone (270) 688-1351
2211 Mayfair Dr
Ste 409
Owensboro, KY 42301
Phone (270) 417-7980
2025 W Everly Brothers Blvd
Ste 1A
Powderly, KY 42367
Phone (270) 377-2600
Interoperability endpoints
- rmoorman100332@direct.owensborohealth.org
Organizations & group practices 5
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.
-
dba Owensboro Health Muhlenberg Community Hospital Wound Center
- Surgery Physician
- Greenville, KY
- NPI 1235518242
-
dba Owensboro Health Medical Group Premier Primary Care
- Internal Medicine Physician
- Owensboro, KY
- NPI 1306700711
-
dba Owensboro Health Medical Group - Behavioral Health
- Psychiatry Physician
- Owensboro, KY
- NPI 1013353101
Professional
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Ashland, KY
- NPI 1982615043
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Ashland, KY
- NPI 1609260199
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574812800000",
"number": "1073618658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 23229",
"city": "OWENSBORO",
"state": "KY",
"postal_code": "423043229",
"telephone_number": "270-688-1330",
"fax_number": "270-688-1338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2211 MAYFAIR DR STE 409",
"city": "OWENSBORO",
"state": "KY",
"postal_code": "423014570",
"telephone_number": "270-417-7980",
"fax_number": "270-417-7989"
}
],
"practiceLocations": [
{
"address_1": "57 Dora Ln",
"address_purpose": "LOCATION",
"city": "Greenup",
"state": "KY",
"postal_code": "411441187",
"country_code": "US",
"telephone_number": "606-473-7333",
"fax_number": "606-473-7335",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOORMAN",
"first_name": "REBECCA",
"middle_name": "LYNN",
"credential": "LPCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-14",
"last_updated": "2019-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "KY",
"license": "102124",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "KY",
"license": "0591",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30610026",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Owensboro, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2019; 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.