Carmella I Moore, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH17480 Issued in FL

Practice address

2900 SE Treasure Island Rd
Port Saint Lucie, FL 34952-5773

Phone

(771) 208-9447

Fax

(772) 408-9619

NPI assigned

Dec 2, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Mental Health Counselor

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1417478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748563200000",
    "number": "1194122473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 SE TREASURE ISLAND RD",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349525773",
            "telephone_number": "772-208-9447",
            "fax_number": "772-408-9619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 SE TREASURE ISLAND RD",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349525773",
            "telephone_number": "771-208-9447",
            "fax_number": "772-408-9619"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1140 NE Wright Ave",
            "address_purpose": "LOCATION",
            "city": "Jensen Beach",
            "state": "FL",
            "postal_code": "349576249",
            "country_code": "US",
            "telephone_number": "772-208-9447",
            "fax_number": "772-408-9619",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "CARMELLA",
        "middle_name": "I",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-02",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH17480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Koiesha Molme, RN
• Sarah Monroe, ARNP
• Katherine Monroig
• Diego F. Montes, M.D
• Veronica Montgomery, LCSW
• Molly A Moore
• Marleny Morales Rodriguez, RBT
• Marian Morales
• Massiel Morales, APRN
• Roxana Moredo

• Mental Health Counselor in Port Saint Lucie, FL
• Providers in Port Saint Lucie, 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 May 30, 2025; 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.