Individual provider Active NPI

Michael Lewis Moore, LPCC

  • Counselor
  • Athens, OH
National Provider Identifier
1275601502
Registry record updated Mar 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
E.0500676 Issued in OH
Practice address
3 W Stimson Ave
Athens, OH 45701-2679
Phone
(740) 592-3600
NPI assigned
Dec 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X E.0500676 OH Primary

Addresses

Primary practice location

3 W Stimson Ave
Athens, OH 45701-2679

Mailing address

3 W Stimson Ave
Athens, OH 45701-2679
Phone (740) 592-3600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240426001156 WV Practitioner - Mental Health Counselor 6507229481 Reassigns benefits to 1 organization
I20251027000250 OH Practitioner - Mental Health Counselor 6507229481 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2004
Medicare assignment
May accept Medicare assignment
Group practices
Counseling and Wellness Center-Oh LLCGroup PAC ID 2668758442, 4 clinicians
Counseling and Wellness Center LLCGroup PAC ID 5395983126, 17 clinicians

Practice addresses (Care Compare)

225 Main St
Belpre, OH 45714-1691
Phone (304) 422-7300

936 Market St
Parkersburg, WV 26101-4795
Phone (304) 422-7300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E.0500676OHMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling and Wellness Center LLC CurrentSince Feb 17, 2024 Accepting new patients
Counseling & Wellness Center-Oh LLC CurrentSince Sep 1, 2025 Accepting new patients

Locations

936 Market St
Parkersburg, WV 26101
Phone (304) 422-7300

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206403200000",
    "number": "1275601502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 W STIMSON AVE",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457012679",
            "telephone_number": "740-592-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 W STIMSON AVE",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457012679",
            "telephone_number": "740-592-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "MICHAEL",
        "middle_name": "LEWIS",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2008-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "E.0500676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, OH

Sources for this page

Verify at the official NPI Registry.