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Stefanie Moore , LPC

Counselor - Professional β€’ Tyrone, GA

Active NPI 1285266858 Individual Practitioner Female Practitioner
Practice location in NPPES

100 Lloyd Ave Ste E
Tyrone, GA 302902157

Call 4702156101 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.

Practice Location & Contact Primary Location

Practice Address

100 Lloyd Ave Ste E

Tyrone, GA 302902157

Telephone 4702156101
Organization at the Same NPPES Address or Phone
Sjbm Enterprises Llc Facility NPI 1427715747

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

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Newnan, GA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2020

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: NPI first issued

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; Medicare.gov, β€œDoes 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.

Guide: How Medicare covers telehealth

Compared with the same specialty in Tyrone and Georgia

17 active clinicians are listed under Counselor - Professional with a practice address in Tyrone, GA (6,500 in Georgia).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Tyrone

0% of these 17 clinicians have the CMS telehealth indicator.

0% of these 17 clinicians are listed by CMS as accepting Medicare assignment.

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

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-11-10
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES GA LPC011376
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: Georgia Composite Medical Board.
Look Up on State Board Site

Secondary Practice Locations

15 Lagrange St Ste C

Newnan, GA 302632693

Phone: 7703282731

Career & Practice History Timeline

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

8 Historical Events
πŸ“
Updated Practice Location November 10, 2021

Registered at 100 LLOYD AVE STE E, TYRONE, GA 302902157 (Tel: 4702156101)

πŸ“
Updated Practice Location May 06, 2020

Registered at 37 CALUMET PKWY STE 100, NEWNAN, GA 302636734 (Tel: 7703040072)

βœ…
NPI Profile Active February 11, 2020

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) February 11, 2020

Registered at 100 LLOYD AVE STE E, TYRONE, GA 302902157 (Tel: 4702156101)

πŸ“
Business Mailing Address (Initial Record) February 11, 2020

Registered at 147 HUNTERIAN PL, NEWNAN, GA 302655619 (Tel: 7703280490)

πŸ‘€
Provider Name / Credentials (Initial Record) February 11, 2020

Recorded as STEFANIE MOORE, LPC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 11, 2020

Counselor (license number reported to NPPES: GA LPC011376)

🟒
Initial NPI Registration & Enumeration February 11, 2020

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1285266858
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 11, 2020
Last Update: November 10, 2021
Sole Proprietor: No

Mailing Address

147 Hunterian Pl

Newnan, GA 302655619

Phone: 7703280490

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.