Active NPI
Shauntae Moore, LPC, NCC
- Professional Counselor
- Baton Rouge, LA
National Provider Identifier
1548636475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 5274
- Practice address
- 158 McGehee Dr
Baton Rouge, LA 70815-5012 - Phone
- (225) 272-5271
- NPI assigned
- Aug 14, 2015
- Last updated
- Mar 30, 2026
- 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 11
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LH61278300 | WA | |
| Mental Health Counselor | 101YM0800X | TPMC97 | FL | |
| Professional Counselor | 101YP2500X | 5274 | LA | Primary |
| Professional Counselor | 101YP2500X | 2655 | MS | |
| Professional Counselor | 101YP2500X | 81212 | TX | |
| Professional Counselor | 101YP2500X | LCPC2825 | KS | |
| Professional Counselor | 101YP2500X | 3139 | NV | |
| Professional Counselor | 101YP2500X | 19431 | AZ | |
| Professional Counselor | 101YP2500X | LPC011864 | GA | |
| Professional Counselor | 101YP2500X | 37PC00911600 | NJ | |
| Professional Counselor | 101YP2500X | 0701009989 | VA |
Addresses
Primary practice location
158 McGehee Dr
Baton Rouge, LA 70815-5012
Mailing address
5960 Siegen LN Apt 5303
Baton Rouge, LA 70809-4405
Phone (504) 214-4490
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2011
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2261 Market St
San Francisco, CA 94114-1612
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TPMC97 | FL | MD | Mental Health Counselor |
| LH61278300 | WA | MD | Mental Health Counselor |
| 19431 | AZ | MD | Professional Counselor |
| LPC011864 | GA | MD | Professional Counselor |
| LCPC2825 | KS | MD | Professional Counselor |
| 5274 | LA | MD | Professional Counselor |
| 2655 | MS | MD | Professional Counselor |
| 37PC00911600 | NJ | MD | Professional Counselor |
| 0701009989 | VA | MD | Professional Counselor |
| 3139 | NV | MD | Physical Therapist |
| 81212 | TX | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Mental Health | Current | Accepting new patients |
| Ehome Behavioral Care | Mental Health | Past | Accepting new patients |
Interoperability endpoints
- shauntaemoore@tdh.allscriptsdirect.net
Organizations & group practices 4
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.
-
dba Shauntae Moore
- Professional Counselor
- Denham Springs, LA
- NPI 1821665217
-
- Family Medicine Physician
- Lewisville, TX
- NPI 1245403567
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774828800000",
"number": "1548636475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5960 SIEGEN LN APT 5303",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708094405",
"telephone_number": "504-214-4490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "158 MCGEHEE DR",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708155012",
"telephone_number": "225-272-5271"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "SHAUNTAE",
"name_prefix": "Mrs.",
"credential": "LPC, NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-08-14",
"last_updated": "2026-03-30",
"certification_date": "2026-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH61278300",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "TPMC97",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "LA",
"license": "5274",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MS",
"license": "2655",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "81212",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "KS",
"license": "LCPC2825",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NV",
"license": "3139",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AZ",
"license": "19431",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC011864",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NJ",
"license": "37PC00911600",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701009989",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.