Individual provider Active NPI

Alexandra Renee Moore, LPC

  • Mental Health Counselor
  • Camp Hill, PA
National Provider Identifier
1184429722
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PC015532 Issued in PA
Practice address
412 Erford Rd
Camp Hill, PA 17011-1117
Phone
(717) 386-5971
Fax
(717) 386-5635
NPI assigned
Feb 18, 2025
Last updated
Feb 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X PC015532 PA Primary

Addresses

Primary practice location

412 Erford Rd
Camp Hill, PA 17011-1117

Mailing address

501 Hamilton Dr
Middletown, PA 17057-5604
Phone (717) 991-8404

Medicare participation

Medicare enrollment files
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.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Downtown Counseling Center LLCGroup PAC ID 6800167255, 7 clinicians

Practice addresses (Care Compare)

412 Erford Rd
Camp Hill, PA 17011-1117
Phone (717) 386-5971

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Downtown Counseling Center LLC CurrentSince Dec 30, 2024 Accepting new patients

Locations

412 Erford Rd
Camp Hill, PA 17011
Phone (717) 386-5971

155 S Hanover St
Ofc
Carlisle, PA 17013
Phone (717) 386-5971

Organizations & group practices 1

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": "1739836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1184429722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 HAMILTON DR",
            "city": "MIDDLETOWN",
            "state": "PA",
            "postal_code": "170575604",
            "telephone_number": "717-991-8404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 ERFORD RD",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170111117",
            "telephone_number": "717-386-5971",
            "fax_number": "717-386-5635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "ALEXANDRA",
        "middle_name": "RENEE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-18",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC015532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camp Hill, PA

Sources for this page

Verify at the official NPI Registry.