Individual provider Active NPI

Winnie D Moore, LCPC

  • Mental Health Counselor
  • Waldorf, MD
National Provider Identifier
1629428735
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LC6985 Issued in MD
Practice address
2670 Crain Hwy Ste 105
Waldorf, MD 20601-2820
Phone
(240) 232-5554
Fax
(240) 366-7076
NPI assigned
Jun 20, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LC6985 MD Primary

Addresses

Primary practice location

2670 Crain Hwy Ste 105
Waldorf, MD 20601-2820

Mailing address

910 Jefferson Rd
Rockledge, FL 32955-3510
Phone (240) 346-9712

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LC6985MDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Family Matters Community Care, LLC Current Accepting new patients
Ajs Counseling and Consulting Service, LLC Mental Health Current Accepting new patients

Locations

515 W Buckeye Rd
Ste 105
Phoenix, AZ 85003
Phone (602) 283-3165

1282 Smallwood Dr W
Waldorf, MD 20603
Phone (301) 266-6861

2670 Crain Hwy
Ste 105
Waldorf, MD 20601
Phone (240) 232-5555

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1466380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1629428735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 JEFFERSON RD",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329553510",
            "telephone_number": "240-346-9712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2670 CRAIN HWY STE 105",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206012820",
            "telephone_number": "240-232-5554",
            "fax_number": "240-366-7076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "WINNIE",
        "middle_name": "D",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-20",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC6985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldorf, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.