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Jennifer Lynn Moore , LPCC-S

Counselor - Professional β€’ Hilliard, OH

Active NPI 1962669713 Individual Practitioner Female Practitioner Telehealth (some services)
Practice location in NPPES

3535 Fishinger Blvd Ste 110
Hilliard, OH 430262000

Call 6145459773 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

3535 Fishinger Blvd Ste 110

Hilliard, OH 430262000

Telephone 6145459773
Fax 6146890184
Organization at the Same NPPES Address or Phone
Providers For Healthy Living Facility NPI 1811560899

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

CMS Doctors and Clinicians lists 2 distinct group names: Cbus Brain Health, Llc; Heritage Christian Counseling Of Shelby. See the list

Source: CMS Doctors and Clinicians National Downloadable File, 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

2002

Years since graduation

24 years (graduated 2002)

CMS Doctors and Clinicians data list 2002 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

2008

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

Telehealth (some services)

Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.

What this does not show: Telehealth (some services)

It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.

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)

Jennifer Moore 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 Jennifer Moore 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 Hilliard and Ohio

33 active clinicians are listed under Counselor - Professional with a practice address in Hilliard, OH (6,790 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Hilliard

6.1% of these 33 clinicians have the CMS telehealth indicator.

9.1% of these 33 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: 2026-04-01
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES OH E.0007958-SUPV
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: State Medical Board of Ohio.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
0260387 (OH)

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

I20250806000583

Enrollment State Jurisdiction

OH

PECOS Control ID

0749798122

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.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Cbus Brain Health, Llc

3535 Fishinger Blvd, Hilliard, OH 430262000

Phone: 6145459773

Heritage Christian Counseling Of Shelby

153 Mansfield Ave, Shelby, OH 448751832

Phone: 5678440036

Clinicians Sharing This Practice Address or Phone

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

2 listed
Christan Allison , CNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1073160933

Certified Nurse Practitioner

Wendi Bergdoll , MSN, CPMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1962923748

Master of Science in Nursing, CPMHNP

Career & Practice History Timeline

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

14 Historical Events
πŸ“
Updated Practice Location April 01, 2026

Registered at 3535 FISHINGER BLVD STE 110, HILLIARD, OH 430262000 (Tel: 6145459773)

πŸ“
Updated Business Mailing Address April 01, 2026

Registered at 1066 LEXINGTON AVE, MANSFIELD, OH 449072250 (Tel: 4197098447)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 04, 2019

Counselor (license number reported to NPPES: OH E.0007958-SUPV)

βœ…
NPI Profile Active December 12, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location December 12, 2017

Registered at 1012 ODNR MOHICAN 51, PERRYSVILLE, OH 448649407 (Tel: 4199940300)

πŸ“
Updated Business Mailing Address December 12, 2017

Registered at 1012 ODNR MOHICAN 51, PERRYSVILLE, OH 448649407 (Tel: 4199940300)

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

Recorded as JENNIFER MOORE, LPCC-S

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

Counselor (license number reported to NPPES: OH C7958)

βœ…
NPI Profile Active May 20, 2008

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 20, 2008

Registered at 1451 LUCAS ROAD, FOUNDATIONS FOR LIVING, MANSFIELD, OH 44905 (Tel: 4195895511)

πŸ“
Business Mailing Address (Initial Record) May 20, 2008

Registered at PO BOX 2226, FOUNDATIONS FOR LIVING 1451 LUCAS ROAD, MANSFIELD, OH 44905 (Tel: 4195895511)

πŸ‘€
Provider Name / Credentials (Initial Record) May 20, 2008

Recorded as JENNIFER MOORE, PC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 20, 2008

Counselor (license number reported to NPPES: OH C7958)

🟒
Initial NPI Registration & Enumeration May 20, 2008

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1962669713
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 20, 2008
Last Update: April 01, 2026
Sole Proprietor: No

Mailing Address

1066 Lexington Ave

Mansfield, OH 449072250

Phone: 4197098447

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.