Jennifer Lynn Moore, LPCC-S

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

E.0007958-SUPV Issued in OH

Practice address

3535 Fishinger Blvd Ste 110
Hilliard, OH 43026-2000

Phone

(614) 545-9773

Fax

(614) 689-0184

NPI assigned

May 20, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Other, 2002

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Heritage Christian Counseling of ShelbyGroup PAC ID 6406293687, 6 clinicians

Cbus Brain Health, LLCGroup PAC ID 5799130241, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Cbus Brain Health LLC

  • Multi-Specialty Clinic/Center
  • Hilliard, OH
  • NPI 1942910252
  Medicare reassignment Care Compare group NPD
• Heritage Christian Counseling of Shelby

  • Clinical Social Worker
  • Shelby, OH
  • NPI 1114700622
  Medicare reassignment Care Compare group NPD
• Heritage Christian Counseling of Mansfield

  • Mental Health Counselor
  • Mansfield, OH
  • NPI 1235021387
  Medicare reassignment NPD

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775001600000",
    "number": "1962669713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1066 LEXINGTON AVE",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449072250",
            "telephone_number": "419-709-8447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 FISHINGER BLVD STE 110",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430262000",
            "telephone_number": "614-545-9773",
            "fax_number": "614-689-0184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LPCC-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-20",
        "last_updated": "2026-04-01",
        "certification_date": "2026-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.0007958-SUPV",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0260387",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Elizabeth Montgomery, COTA/L
• Monumental Healthcare
• Carlin Moone, DPT
• Moore Than Athletics
• Jason David Moore, LAC
• Melani Moore
• Miranda Brooke Moore, PA-C
• Cynda Morelli, MA CCC SLP
• Andrea E. Moreno, LISW-S
• Donald Alan Morgan, D.D.S.

• Professional Counselor in Hilliard, OH
• Providers in Hilliard, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.