| Mrs Jennifer Lynn Moore, LPCC-S | |
|
3535 Fishinger Blvd Ste 110, Hilliard, OH 43026-2000 | |
| (614) 545-9773 | |
| (614) 689-0184 |
| Full Name | Mrs Jennifer Lynn Moore |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 24 Years |
| Location | 3535 Fishinger Blvd Ste 110, Hilliard, Ohio |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962669713 | NPI | - | NPPES |
| 0260387 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | E.0007958-SUPV (Ohio) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Heritage Christian Counseling Of Shelby | 6406293687 | 6 |
| Cbus Brain Health, Llc | 5799130241 | 5 |
| Entity Name | Cbus Brain Health, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942910252 PECOS PAC ID: 5799130241 Enrollment ID: O20231018002618 |
| Entity Name | Heritage Christian Counseling of Shelby |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114700622 PECOS PAC ID: 6406293687 Enrollment ID: O20240322004197 |
| Entity Name | Heritage Christian Counseling of Mansfield |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235021387 PECOS PAC ID: 9931609377 Enrollment ID: O20250821000820 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Jennifer Lynn Moore, LPCC-S 1066 Lexington Ave, Mansfield, OH 44907-2250 Ph: (419) 709-8447 | Mrs Jennifer Lynn Moore, LPCC-S 3535 Fishinger Blvd Ste 110, Hilliard, OH 43026-2000 Ph: (614) 545-9773 |
Christopher Wolford, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5548 Hilliard Rome Office Park, Hilliard, OH 43026 Phone: 740-845-8652 |
Chelsey Ulry, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5123 Norwich St Ste 110, Hilliard, OH 43026 Phone: 614-824-8320 |
Ms. Shannon Marie Miller, LPCC-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 3645 Ridge Mill Dr, Hilliard, OH 43026 Phone: 614-457-7876 Fax: 614-457-7896 |
Samantha Bishop, BSW, LSW, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 5471 Scioto Darby Rd, Hilliard, OH 43026 Phone: 614-470-4248 |
Bridgett Conkle, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3718 Ridge Mill Dr, Hilliard, OH 43026 Phone: 380-400-4673 |
Madelyn Ward, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5471 Scioto Darby Rd, Hilliard, OH 43026 Phone: 614-755-8044 |
Ms. Catherine Donatelli, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5123 Norwich St Ste 110, Hilliard, OH 43026 Phone: 866-421-0616 |