Ellen CF Moore, LCMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0680000355 Issued in VT

Practice address

18 Tulip Street
Lyndonville, VT 05851

Phone

(802) 626-8189

Fax

(704) 987-8746

NPI assigned

Nov 7, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in VT

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

Specialty

Mental Health Counselor

Education

University of Vermont College of Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Northern Counties Health Care Inc

  • Federally Qualified Health Center (FQHC)
  • St Johnsbury, VT
  • NPI 1649236225

  Corporate Director

  CMS ownership
• Northern Counties Health Care, Inc.

  dba Northern Express Care Newport

  • Federally Qualified Health Center (FQHC)
  • Newport, VT
  • NPI 1003564931

  Corporate Director

  CMS ownership
• Northern Counties Health Care, Inc.

  dba Caledonia Home Health Care

  • Home Health Agency
  • St Johnsbury, VT
  • NPI 1518960137

  Corporate Director, Corporate Officer

  CMS ownership
• Northern Counties Health Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • St Johnsbury, VT
  • NPI 1639783095

  Corporate Director

  CMS ownership

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.

• Kristi Zola, PLLC

  • Community/Behavioral Health Agency
  • Lyndonville, VT
  • NPI 1073170155
  NPD (past)

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881763779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1161",
            "city": "LYNDONVILLE",
            "state": "VT",
            "postal_code": "058511161",
            "telephone_number": "802-626-8189",
            "fax_number": "704-987-8746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 TULIP STREET",
            "city": "LYNDONVILLE",
            "state": "VT",
            "postal_code": "05851",
            "telephone_number": "802-626-8189",
            "fax_number": "704-987-8746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "ELLEN",
        "middle_name": "CF",
        "credential": "LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "0680000355",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1049971",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOHAWK VALLEY PLAN",
            "identifier": "711988",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00029643",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007327",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert McDonald
• Lyndi Medico, RN
• Melanie Willis Counseling, LLC
• Staci Mitchell
• Elias David Moore
• Mountains of the Moonlight Counseling
• Northeast Kingdom Learning Services, Inc Fit
• Northeastern Vermont Regional Hospital Inc (NVRH Northern Physical Therapy)
• Northeastern Vermont Regional Hospital Inc. (NVRH Corner Medical)
• Northeastern Vermont Regional Hospital, Inc. (NVRH Convenient Care)

• Mental Health Counselor in Lyndonville, VT
• Providers in Lyndonville, VT by specialty
• Mental Health Counselor in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.

Verify at the official NPI Registry.