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Brandy Moore

Counselor • Carbondale, IL

Active NPI 1427667161 Individual Practitioner Female Practitioner
Practice location in NPPES

200 N Emerald Ln
Carbondale, IL 629012159

Call 6184576703 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

200 N Emerald Ln

Carbondale, IL 629012159

Telephone 6184576703
Organization at the Same NPPES Address or Phone
Rehab Innovations Llc Facility NPI 1023023579

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

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, “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.

Guide: How Medicare covers telehealth

Compared with the same specialty in Carbondale and Illinois

60 active clinicians are listed under Counselor with a practice address in Carbondale, IL (3,805 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Carbondale

0% of these 60 clinicians have the CMS telehealth indicator.

0% of these 60 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 · Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-07-29
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
IL2970 (IL)

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

4 listed
Elsie Farough

Social Worker - Clinical

NPI 1790253268
Peter Haller , MS, LCPC

Counselor - Mental Health

NPI 1164661716

Master of Science, Licensed Clinical Professional Counselor

Robert Lowry , LCPC

Counselor - Mental Health

NPI 1346382207

Licensed Clinical Professional Counselor

Dr. Melissa Patil , DNP, APRN, PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1790456663

Doctor of Nursing Practice, Advanced Practice Registered Nurse, Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Career & Practice History

NPI enumerated July 29, 2020.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from August 2020 to August 2026.

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NPI Administrative Meta

NPI Number: 1427667161
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 29, 2020
Last Update: July 29, 2020
Sole Proprietor: No

Mailing Address

902 W Main St

West Frankfort, IL 628962210

Phone: 6189376483

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.