Lacey Deann Moore , LPC

Counselor - Professional • Mobile, AL

Active NPI 1225363161 Individual Practitioner Female Practitioner

Practice location in NPPES

6576 Airport Blvd, Suite C200
Mobile, AL 36608

Call 2514590200 Location details and other listings

Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Lacey Moore is listed in NPPES under Counselor - Professional.
NPI assigned on October 9, 2009; this date does not establish years in practice.
No Medicare Part B / Part D records for this NPI in the CMS files shown here. CMS covers only Medicare fee-for-service / Part D claims and omits records with fewer than 11 beneficiaries, so this does not show whether the provider accepts Medicare or prescribes.

Practice Location & Contact Primary Location

Practice Address

6576 Airport Blvd
Suite C200

Mobile, AL 36608

Telephone 2514590200

Fax 2516256428

Before You Book

Paying without insurance? Prepare a cost-estimate request

Ask about interpreters and office accessibility

Organization at the Same NPPES Address or Phone

Radiology Associates Of Mobile Pc Facility NPI 1184696270

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

What Public CMS Data Show

These CMS figures cover limited populations and published records; they are not quality ratings or medical advice.

Counselor - Professional: NPPES taxonomy is a reported classification, not proof of board certification.

NPI first issued

2009

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Compared with the same specialty in Mobile and Alabama

135 active clinicians are listed under Counselor - Professional with a practice address in Mobile, AL (1,834 in Alabama).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Mobile

3% of these 135 clinicians have the CMS telehealth indicator.

16.3% of these 135 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-03-17

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES AL 2742

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Alabama State Board of Medical Examiners.

Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events

📍

Updated Practice Location March 17, 2023

Registered at 6576 AIRPORT BLVD, SUITE C200, MOBILE, AL 36608 (Tel: 2514590200)

📍

Updated Business Mailing Address March 17, 2023

Registered at 6576 AIRPORT BLVD, SUITE C200, MOBILE, AL 36608 (Tel: 2514590200)

👤

Provider Name / Credentials Updated March 17, 2023

Recorded as LACEY MOORE, LPC

✅

NPI Profile Active October 09, 2009

NPI status registered as active in NPPES database

📍

Practice Location (Initial Record) October 09, 2009

Registered at 6642 PARK DR STE B, DAPHNE, AL 365265228 (Tel: 2516256448)

📍

Business Mailing Address (Initial Record) October 09, 2009

Registered at 6642 PARK DR STE B, DAPHNE, AL 365265228 (Tel: 2516256448)

👤

Provider Name / Credentials (Initial Record) October 09, 2009

Recorded as LACEY BROADUS, LPC

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 09, 2009

Counselor (license number reported to NPPES: AL 2742)

🟢

Initial NPI Registration & Enumeration October 09, 2009

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1225363161

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 09, 2009

Last Update: March 17, 2023

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

6576 Airport Blvd, Suite C200

Mobile, AL 36608

Phone: 2514590200

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.