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Kandy Lea Moore , LPC

Counselor - Professional β€’ West Union, OH

Active NPI 1538814751 Individual Practitioner Female Practitioner
Practice location in NPPES

192 Chestnut Ridge Rd
West Union, OH 456939584

Call 9375445581 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

192 Chestnut Ridge Rd

West Union, OH 456939584

Telephone 9375445581
Fax 7403531662
Organization at the Same NPPES Address or Phone
Shawnee Mental Health Center, Inc. Facility NPI 1093904120

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

NPI first issued

2022

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 West Union and Ohio

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

Addresses are self-reported to NPPES and may be out of date.

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: 2024-10-21
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES OH C.2305353
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

Clinicians Sharing This Practice Address or Phone

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

10 listed
Dr. Daniel Cardona , MD

Psychiatry & Neurology - Child & Adolescent Psychiatry

NPI 1164456760

Doctor of Medicine (M.D.)

Eric Downey

Nurse Practitioner - Psychiatric/Mental Health

NPI 1699546408
Dr. Jeffrey Hill , DO

Family Medicine

NPI 1154342582

Doctor of Osteopathic Medicine (D.O.)

Amber Irwin

Nurse Practitioner - Psychiatric/Mental Health

NPI 1609572965
Debora Katz

Nurse Practitioner - Psychiatric/Mental Health

NPI 1174853014
Kayla Kelley , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1013594332

Psychiatric-Mental Health Nurse Practitioner

Career & Practice History Timeline

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

13 Historical Events
πŸ“
Updated Practice Location October 21, 2024

Registered at 192 CHESTNUT RIDGE RD, WEST UNION, OH 456939584 (Tel: 9375445581)

πŸ“
Updated Business Mailing Address October 21, 2024

Registered at 901 WASHINGTON ST, PORTSMOUTH, OH 456623944 (Tel: 7403547702)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 21, 2024

Counselor (license number reported to NPPES: OH C.2305353)

πŸ‘€
Provider Name / Credentials Updated July 21, 2023

Recorded as KANDY MOORE, LPC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 21, 2023

Counselor (license number reported to NPPES: OH C.2305353)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 09, 2023

Counselor (license number reported to NPPES: OH C.2203764-TRNE)

πŸ“
Updated Practice Location April 22, 2022

Registered at 550 MOUNT ZION RD, SEAMAN, OH 456799735 (Tel: 9375155834)

βœ…
NPI Profile Active February 16, 2022

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) February 16, 2022

Registered at 104 ERIN CT, HILLSBORO, OH 451338591 (Tel: 9373939720)

πŸ“
Business Mailing Address (Initial Record) February 16, 2022

Registered at 550 MOUNT ZION RD, SEAMAN, OH 456799735 (Tel: 9375155834)

πŸ‘€
Provider Name / Credentials (Initial Record) February 16, 2022

Recorded as KANDY MOORE

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 16, 2022

Counselor

🟒
Initial NPI Registration & Enumeration February 16, 2022

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1538814751
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 16, 2022
Last Update: October 21, 2024
Sole Proprietor: Yes

Mailing Address

901 Washington St

Portsmouth, OH 456623944

Phone: 7403547702

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.