Active NPI
Danielle Moore, LPC
- Mental Health Counselor
- Lancaster, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- PC11612
- Practice address
- 1821 Oregon Pike
Lancaster, PA 17601-6466 - Phone
- (717) 810-1974
- Fax
- (717) 704-8476
- NPI assigned
- Oct 9, 2018
- Last updated
- May 4, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | BH003409 | ||
| Mental Health Counselor | 101YM0800X | PC11612 | PA | Primary |
Addresses
Primary practice location
1821 Oregon Pike
Lancaster, PA 17601-6466
Mailing address
46 Tower Dr
Elizabethtown, PA 17022-8320
Phone (973) 668-9530
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | admin@thebhwa.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- 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, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1725 Oregon Pike
Lancaster, PA 17601-4206
Phone (717) 810-1974
1821 Oregon Pike
Suite 206
Lancaster, PA 17601-6466
Phone (717) 810-1974
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC11612 | PA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavioral Health and Wellness Associates LLC | Mental Health | Current | Accepting new patients |
| Quintessential Wellness, LLC | Current | Accepting new patients | |
| The Behavioral Health and Wellness Academy | Mental Health | Current | Accepting new patients |
| Glenn R. Koch & Associates, LLC | Past | Accepting new patients | |
| Glenn R Koch and Associates Inc | Past | Accepting new patients |
Locations
513 W Chocolate Ave
Ste 100
Hershey, PA 17033
Phone (717) 473-0057
1725 Oregon Pike
Lancaster, PA 17601
Phone (717) 569-8518
1821 Oregon Pike
Ste 206
Lancaster, PA 17601
Phone (717) 810-1974
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.
-
- Clinical Psychologist
- Lancaster, PA
- NPI 1376403345
Mental Health
-
- Clinical Psychologist
- Lancaster, PA
- NPI 1992219588
Mental Health
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bainbridge, PA
- NPI 1972322279
-
- Psychiatry Physician
- Allentown, PA
- NPI 1700949161
-
- Counseling Psychologist
- Allentown, PA
- NPI 1093122699
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777852800000",
"number": "1235604901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "46 TOWER DR",
"city": "ELIZABETHTOWN",
"state": "PA",
"postal_code": "170228320",
"telephone_number": "973-668-9530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1821 OREGON PIKE",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176016466",
"telephone_number": "717-810-1974",
"fax_number": "717-704-8476"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "DANIELLE",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-10-09",
"last_updated": "2026-05-04",
"certification_date": "2026-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": "BH003409",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "PA",
"license": "PC11612",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "admin@thebhwa.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "1821 Oregon Pike",
"city": "Lancaster",
"state": "PA",
"country_code": "US",
"postal_code": "176016466",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lancaster, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2026; 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.