Active NPI
Jessica L Moore, LPC, LCADC
- Mental Health Counselor
- Forked River, NJ
National Provider Identifier
1316678642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 37PC01277100
- Practice address
- 2033 Crestwood Dr
Forked River, NJ 08731-3841 - Phone
- (848) 234-1631
- NPI assigned
- Jun 17, 2022
- 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 | 37PC01277100 | NJ | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 37LC00420600 | NJ |
Addresses
Primary practice location
2033 Crestwood Dr
Forked River, NJ 08731-3841
Mailing address
2033 Crestwood Dr
Forked River, NJ 08731-3841
Phone (609) 300-4071
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37AC00712500 | NJ | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moore to Life Counseling LLC | Addiction (Substance Use Disorder) | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Mental Health Counselor
- Forked River, NJ
- NPI 1073431391
Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781740800000",
"number": "1316678642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2033 CRESTWOOD DR",
"city": "FORKED RIVER",
"state": "NJ",
"postal_code": "087313841",
"telephone_number": "609-300-4071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2033 CRESTWOOD DR",
"city": "FORKED RIVER",
"state": "NJ",
"postal_code": "087313841",
"telephone_number": "848-234-1631"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "JESSICA",
"middle_name": "L",
"credential": "LPC, LCADC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-17",
"last_updated": "2026-06-18",
"certification_date": "2026-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "NJ",
"license": "37PC01277100",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NJ",
"license": "37LC00420600",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Forked River, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.