Jenean Moore, M.A., LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

178.010280 Issued in IL

Practice address

34121 N US Highway 45
Suite 221
Grayslake, IL 60030-1768

Phone

(847) 752-4034

NPI assigned

Sep 3, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jenean Pickard Former name

Medicare fee-for-service enrollment

Enrolled in IL

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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.

• White Stone Partners LLC

  • Professional Counselor
  • Lake Bluff, IL
  • NPI 1801543616
  Medicare reassignment NPD

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

{
    "created_epoch": "1409702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597708800000",
    "number": "1164822532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34121 N US HIGHWAY 45",
            "address_2": "SUITE 221",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600301768",
            "telephone_number": "847-752-4034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34121 N US HIGHWAY 45",
            "address_2": "SUITE 221",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600301768",
            "telephone_number": "847-752-4034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "JENEAN",
        "name_prefix": "Mrs.",
        "credential": "M.A., LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-03",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.010280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENEAN",
            "last_name": "PICKARD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Fatima Moreno
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• Professional Counselor in Grayslake, IL
• Providers in Grayslake, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.