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Cecily Renee Moore , LPC-MHSP

Counselor - Professional β€’ Jackson, TN

Active NPI 1962800102 Individual Practitioner Female Practitioner
Practice location in NPPES

15 Bent Twig Dr
Jackson, TN 383056477

Call 7313944555 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

15 Bent Twig Dr

Jackson, TN 383056477

Telephone 7313944555
Organization at the Same NPPES Address or Phone
Cope And Wit Counseling Facility NPI 1619550589

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

NPI first issued

2014

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

Can order Medicare-covered services

CMS lists Cecily 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 Jackson and Tennessee

35 active clinicians are listed under Counselor - Professional with a practice address in Jackson, TN (2,205 in Tennessee).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Jackson

14.3% of these 35 clinicians have the CMS telehealth indicator.

25.7% of these 35 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: 2023-10-18
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES TN 4522
Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

Developmental Therapist

NUCC Taxonomy Code: 222Q00000X

A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Developmental Therapy Association. A developmental therapist evaluates children's global development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for the child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve the quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development.

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: Tennessee Department of Health License Verification.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
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.

Career & Practice History Timeline

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

12 Historical Events
πŸ“
Updated Practice Location October 18, 2023

Registered at 15 BENT TWIG DR, JACKSON, TN 383056477 (Tel: 7313944555)

πŸ“
Updated Business Mailing Address October 18, 2023

Registered at 15 BENT TWIG DR, JACKSON, TN 383056477 (Tel: 7313944555)

πŸ‘€
Provider Name / Credentials Updated October 18, 2023

Recorded as CECILY MOORE, LPC-MHSP

πŸ“
Updated Practice Location October 17, 2019

Registered at 644 ACHA DR, HURLBURT FIELD, FL 325441093 (Tel: 7313944555)

πŸ“
Updated Business Mailing Address October 17, 2019

Registered at 644 ACHA DR, HURLBURT FIELD, FL 325441093 (Tel: 7313944555)

πŸ‘€
Provider Name / Credentials Updated October 17, 2019

Recorded as CECILY MOORE

βœ…
NPI Profile Active December 19, 2014

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) December 19, 2014

Registered at 60 LYNOAK CV STE C, JACKSON, TN 383052988 (Tel: 7316687593)

πŸ“
Business Mailing Address (Initial Record) December 19, 2014

Registered at 15 HARTSFIELD DR, JACKSON, TN 383055970 (Tel: 7313944555)

πŸ‘€
Provider Name / Credentials (Initial Record) December 19, 2014

Recorded as CECILY TAYLOR

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 19, 2014

Counselor

🟒
Initial NPI Registration & Enumeration December 19, 2014

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1962800102
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 19, 2014
Last Update: October 18, 2023
Sole Proprietor: No

Mailing Address

15 Bent Twig Dr

Jackson, TN 383056477

Phone: 7313944555

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.