Ebony Star Baker-Moore, EDD,LPC,MFT

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC007289 Issued in GA

Practice address

316 Alexander Street
Suite 2
Douglasville, GA 30134-7205

Phone

(404) 597-9910

Fax

(888) 908-7984

NPI assigned

May 1, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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, 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 and National Provider Directory roles.

• Grady Memorial Hospital Corporation

  • Family Medicine Physician
  • Atlanta, GA
  • NPI 1114243813
  Medicare reassignment
• Angel Eyes Management LLC

  • Professional Counselor
  • Marietta, GA
  • NPI 1932540531
  NPD (past)

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

{
    "created_epoch": "1367366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766016000000",
    "number": "1467897728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3486 MCKOWN RD",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301342812",
            "telephone_number": "404-597-9910",
            "fax_number": "888-908-7984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 ALEXANDER STREET",
            "address_2": "SUITE 2",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301347205",
            "telephone_number": "404-597-9910",
            "fax_number": "888-908-7984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER-MOORE",
        "first_name": "EBONY",
        "middle_name": "STAR",
        "credential": "EDD,LPC,MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-01",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC007289",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC007289",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert E Badwey, MD
• Christopher John Baggett, D.C.
• Wilhelmina Bagsby, MSW
• Abigail Elizabeth Bagwell
• Louise Bailey-Walker, LPC
• Monica Lindsey Ballard
• Tonika M Ballard
• Daisy Bisola Balogun, WHNP-BC
• Michele Balthrope, LCSW
• Quiera Banks, PHD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2025; 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.