Individual provider Active NPI

Angela Jannette Moore, LPC

  • Mental Health Counselor
  • Dora, AL
National Provider Identifier
1609071109
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC02425 Issued in AL
Practice address
2165 Highway 78
Suite 100
Dora, AL 35062-4548
Phone
(205) 648-4567
Fax
(205) 648-4551
NPI assigned
Jun 15, 2007
Last updated
Oct 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LPC02425 AL
Mental Health Counselor 101YM0800X LPC02425 AL Primary

Addresses

Primary practice location

2165 Highway 78
Suite 100
Dora, AL 35062-4548

Mailing address

5484 Littleton Kilgore Rd
Dora, AL 35062-2547
Phone (205) 365-7699

Other identifiers 1

IdentifierTypeStateIssuer
515-41132OtherBLUE CROSS BLUE SHIELD

Other names 1

  • Dr. Angela Ross Gallien Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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

Enrollment IDStateProvider typePAC IDDetails
I20240226000538 AL Practitioner - Mental Health Counselor 4880039270 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2165 Hwy 78
Suite 100
Dora, AL 35062-4539
Phone (205) 648-4567

5484 Littleton Kilgore Rd
Dora, AL 35062-2547

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Angela Moore Counseling LLC Mental Health CurrentSince Aug 10, 2025 Accepting new patients
Angela Moore Counseling LLC Single Specialty CurrentSince Jan 1, 2024 Accepting new patients

Locations

2165 Highway 78
Ste 100
Dora, AL 35062
Phone (205) 648-4567

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760572800000",
    "number": "1609071109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5484 LITTLETON KILGORE RD",
            "city": "DORA",
            "state": "AL",
            "postal_code": "350622547",
            "telephone_number": "205-365-7699",
            "fax_number": "205-648-4551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2165 HIGHWAY 78",
            "address_2": "SUITE 100",
            "city": "DORA",
            "state": "AL",
            "postal_code": "350624548",
            "telephone_number": "205-648-4567",
            "fax_number": "205-648-4551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "ANGELA",
        "middle_name": "JANNETTE",
        "name_prefix": "Dr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-15",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AL",
            "license": "LPC02425",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "LPC02425",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "515-41132",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "GALLIEN",
            "middle_name": "ROSS",
            "prefix": "DR.",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dora, AL

Sources for this page

Verify at the official NPI Registry.