Zachary Mooney, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LC3647 Issued in MD

Practice address

1005 Motter Ave Ofc
Frederick, MD 21701-4595

Phone

(240) 397-9259

NPI assigned

Aug 26, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Sep 1, 2025 through Sep 1, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1219708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539820800000",
    "number": "1871740498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 N JEFFERSON ST",
            "address_2": "SUITE 203",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217013500",
            "telephone_number": "301-712-9015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 MOTTER AVE OFC",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217014595",
            "telephone_number": "240-397-9259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOONEY",
        "first_name": "ZACHARY",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-26",
        "last_updated": "2018-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC3647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MBHP",
            "identifier": "0300010",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1300881",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laine Montgomery Cornelison, MD
• Trisha N Montgomery, RN
• Innocent Monya-Tambi, MD
• Kaylee Moody, CRNP
• Emily Mooney, LCPC
• Kayla Nicole Moore
• Petra Moore
• Shannon David Moore
• Cynthia Joy Moorman, M.D.
• Lorena Morales, LMSW

• Professional Counselor in Frederick, MD
• Providers in Frederick, MD by specialty
• Professional Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.