Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Eric Shane Moor , MA, LPC, NCC

Counselor β€’ Jackson, MI

Active NPI 1407299142 Individual Practitioner Male Practitioner
Practice location in NPPES

205 N East Ave
Jackson, MI 492011753

Call 5172054730 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

205 N East Ave

Jackson, MI 492011753

Telephone 5172054730
Organization at the Same NPPES Address or Phone
Jackson Radiology Consultants, P C Facility NPI 1295736015

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 Hillsdale, MI. 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.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2014

Years since graduation

12 years (graduated 2014)

CMS Doctors and Clinicians data list 2014 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2013

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.

May accept Medicare assignment

CMS data show this clinician may accept Medicare assignment. Clinicians who do not always accept assignment can decide case by case.

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

Enrolled in Medicare (PECOS)

Eric Moor has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Eric Moor as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Jackson and Michigan

66 active clinicians are listed under Counselor with a practice address in Jackson, MI (2,519 in Michigan).

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

Telehealth indicator in Jackson

3% of these 66 clinicians have the CMS telehealth indicator.

13.6% of these 66 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: 2026-01-14
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

License # reported to NPPES MI 6401014352

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: Michigan Department of Licensing and Regulatory Affairs.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - MENTAL HEALTH COUNSELOR

Medicare Enrollment ID

I20260115004010

Enrollment State Jurisdiction

MI

PECOS Control ID

8527494632

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

30 N Howell St

Hillsdale, MI 492421621

Phone: 5177834250

Clinicians Sharing This Practice Address or Phone

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

3 listed
Dr. Masood Ahmad , MD

Psychiatry & Neurology - Psychiatry

NPI 1366481905

Doctor of Medicine (M.D.)

Susan Buyaki , LMSW

Social Worker - Clinical

NPI 1205483591

Licensed Master Social Worker

Dr. Kelsey Lee-Tarca , DO

Psychiatry & Neurology - Psychiatry

NPI 1346980687

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

15 Historical Events
πŸ“
Updated Practice Location January 14, 2026

Registered at 205 N EAST AVE, JACKSON, MI 492011753 (Tel: 5172054730)

πŸ“
Updated Business Mailing Address January 14, 2026

Registered at 1 FORD PL, DETROIT, MI 482023450 (Tel: 3138744806)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 14, 2026

Counselor (license number reported to NPPES: MI 6401014352)

πŸ“
Updated Practice Location January 27, 2020

Registered at 30 N HOWELL ST, HILLSDALE, MI 492421621 (Tel: 5177834250)

βœ…
NPI Profile Active March 12, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Business Mailing Address March 12, 2017

Registered at 110 VREELAND ST, PO BOX 205, NORTH ADAMS, MI 492628728 (Tel: 5173980426)

πŸ“
Updated Practice Location March 12, 2017

Registered at 1206 CLINTON RD, JACKSON, MI 492022005 (Tel: 5177834250)

πŸ‘€
Provider Name / Credentials Updated March 12, 2017

Recorded as ERIC MOOR, MA, LPC, NCC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 12, 2017

Counselor (license number reported to NPPES: MI 6401014352)

βœ…
NPI Profile Active April 11, 2013

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 11, 2013

Registered at 1206 CLINTON RD, JACKSON, MI 492022005 (Tel: 5177834250)

πŸ“
Business Mailing Address (Initial Record) April 11, 2013

Registered at 1206 CLINTON RD, JACKSON, MI 492022005 (Tel: 5177834250)

πŸ‘€
Provider Name / Credentials (Initial Record) April 11, 2013

Recorded as ERIC MOOR, BA, CFLE

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 11, 2013

Social Worker (license number reported to NPPES: MI 6803086452)

🟒
Initial NPI Registration & Enumeration April 11, 2013

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1407299142
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 11, 2013
Last Update: January 14, 2026
Sole Proprietor: Yes

Mailing Address

1 Ford Pl

Detroit, MI 482023450

Phone: 3138744806

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.