Leslie Corinne Moore, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

7083 Issued in TN

Practice address

2380 Henry St
Dyersburg, TN 38024-1847

Phone

(731) 287-1794

Fax

(731) 287-1795

NPI assigned

Feb 6, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Leslie Corinne Smith Former name

Medicare fee-for-service enrollment

Enrolled in TN

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, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Professional Care Services of West TN, Inc.Group PAC ID 0042115537, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Professional Care Services of West TN, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Covington, TN
  • NPI 1457351215
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1486339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1346788700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2380 HENRY ST",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380241847",
            "telephone_number": "731-882-4730",
            "fax_number": "731-287-1795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2380 HENRY ST",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380241847",
            "telephone_number": "731-287-1794",
            "fax_number": "731-287-1795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "LESLIE",
        "middle_name": "CORINNE",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-06",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "7083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LESLIE",
            "last_name": "SMITH",
            "middle_name": "CORINNE",
            "prefix": "MS.",
            "credential": "BA, M.S.ED.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Karen Milliner, PSY.D
• Miracles Network Agency
• Janet S.. Monroe, R.N.
• Molly Moody, SLP
• Donna K Moore
• Olyn Fred Moore III, MD
• Ramakant Mahadeo Mulay, MD
• Shree Ramakant Mulay, MD
• Laura M Mulvany, SLP
• Alyssa Murdock

• Professional Counselor in Dyersburg, TN
• Providers in Dyersburg, TN by specialty
• Professional Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; 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.