Individual provider Active NPI

Laura Moore, LPC

  • Professional Counselor
  • New Bethlehem, PA
National Provider Identifier
1609221423
Registry record updated Sep 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC005040 Issued in PA
Practice address
447 Broad St
New Bethlehem, PA 16242-1102
Phone
(814) 275-6611
NPI assigned
Apr 29, 2016
Last updated
Sep 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC005040 PA Primary

Addresses

Primary practice location

447 Broad St
New Bethlehem, PA 16242-1102

Mailing address

447 Broad St
New Bethlehem, PA 16242-1102
Phone (814) 275-6611

Other practice location 1

987 Brookville Street
Fairmount City, PA 16224
Phone (814) 275-6611

Other practice location 2

100 Allison St
New Bethlehem, PA 16242-1202
Phone (814) 275-6611

Other practice location 3

862 George Rd
Clarion, PA 16214
Phone (814) 275-6611

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20231228000120 PA Practitioner - Mental Health Counselor 1153771563 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

862 George Rd
Clarion, PA 16214-2040
Phone (814) 275-6611

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Laura Moore Counseling Services LLC Professional CurrentSince Jan 1, 2024 Accepting new patients

Locations

862 George Rd
Clarion, PA 16214
Phone (814) 275-6611

447 Broad St
New Bethlehem, PA 16242
Phone (814) 275-6611

Organizations & group practices 1

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": "1461888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1609221423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "447 BROAD ST",
            "city": "NEW BETHLEHEM",
            "state": "PA",
            "postal_code": "162421102",
            "telephone_number": "814-275-6611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "447 BROAD ST",
            "city": "NEW BETHLEHEM",
            "state": "PA",
            "postal_code": "162421102",
            "telephone_number": "814-275-6611"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "987 Brookville Street",
            "address_purpose": "LOCATION",
            "city": "Fairmount City",
            "state": "PA",
            "postal_code": "16224",
            "country_code": "US",
            "telephone_number": "814-275-6611",
            "fax_number": "814-240-5814",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Allison St",
            "address_purpose": "LOCATION",
            "city": "New Bethlehem",
            "state": "PA",
            "postal_code": "162421202",
            "country_code": "US",
            "telephone_number": "814-275-6611",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "862 George Rd",
            "address_purpose": "LOCATION",
            "city": "Clarion",
            "state": "PA",
            "postal_code": "16214",
            "country_code": "US",
            "telephone_number": "814-275-6611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "LAURA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-29",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC005040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.