Angela K Moore, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

APC001501 Issued in GA

Practice address

4186 Mill St NE
Covington, GA 30014-2540

Phone

(770) 787-2301

Fax

(770) 787-9460

NPI assigned

Apr 16, 2007

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

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.

Specialty

Mental Health Counselor

Education

Other, 2006

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Transformation Therapy Services, Inc

  • Community/Behavioral Health Agency
  • Covington, GA
  • NPI 1528489473
  NPD (past)

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783555200000",
    "number": "1437374535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4186 MILL ST NE",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300142540",
            "telephone_number": "770-787-2301",
            "fax_number": "770-787-9460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4186 MILL ST NE",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300142540",
            "telephone_number": "770-787-2301",
            "fax_number": "770-787-9460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "ANGELA",
        "middle_name": "K",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-16",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "APC001501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Modern Cosmetic Dental Care, LLC
• Hasim Momin, DMD
• Nuzat-Zehra Momin
• Timothy Montana, CSFA
• Julie Monteiro-Pai, CRNP
• Cynthia Marie Moore, LPN
• Raven Tpring Moore, AGNP-C
• Michelle D. Morgan, OTR/L
• Jessica Terry Morris, LPC
• Matthew B Mote, D.O.

• Professional Counselor in Covington, GA
• Providers in Covington, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.

Verify at the official NPI Registry.