Mrs Katherine Renee Moore, LPCC-S in Middletown, OH

Mrs Katherine Renee Moore, LPCC-S is a medicare enrolled "Counselor - Professional" provider in Middletown, Ohio. Her current practice location is 1659 South Breiel Blvd, Middletown, Ohio. You can reach out to her office (for appointments etc.) via phone at (513) 424-0921.

Mrs Katherine Renee Moore is licensed to practice in Ohio (license number E.0900160-S) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1376816819.

Contact Information

	Mrs Katherine Renee Moore, LPCC-S
	1659 South Breiel Blvd, Middletown, OH 45044-6705
	(513) 424-0921
	(513) 424-4810

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Katherine Renee Moore
Gender	Female
Speciality	Counselor - Professional
Location	1659 South Breiel Blvd, Middletown, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376816819
Provider Enumeration Date: 02/14/2012
Last Update Date: 05/23/2019

Medicare PECOS Information:

PECOS PAC ID: 0547611980
Enrollment ID: I20240110000390

Medical Identifiers

Medical identifiers for Mrs Katherine Renee Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376816819	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	E.0900160-S (Ohio)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Katherine Renee Moore allows following entities to bill medicare on her behalf.

Entity Name	Counseling Source Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639438518 PECOS PAC ID: 6709772387 Enrollment ID: O20170607001140

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Katherine Renee Moore is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Katherine Renee Moore, LPCC-S 1659 South Breiel Blvd, Middletown, OH 45044 Ph: (513) 424-0921	Mrs Katherine Renee Moore, LPCC-S 1659 South Breiel Blvd, Middletown, OH 45044-6705 Ph: (513) 424-0921

Reviews and Comments

Counselor in Middletown, OH

Lisa Igo, PCC LCDCIII Counselor Medicare: Not Enrolled in Medicare Practice Location: 4464 S Dixie Hwy, Middletown, OH 45005 Phone: 513-649-8008
Nicole Lynn Ward, Counselor Medicare: Not Enrolled in Medicare Practice Location: 160 N Breiel Blvd, Middletown, OH 45042 Phone: 513-941-4999 Fax: 513-694-0168
Jessika Puckett, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 160 N Breiel Blvd, Middletown, OH 45042 Phone: 513-941-4999
Mrs. Jacqueline Andrea Thompson, PCC MED CCDCI Counselor Medicare: Not Enrolled in Medicare Practice Location: 78 N Breiel Blvd, Middletown, OH 45042 Phone: 513-424-2300 Fax: 513-424-2300
Joann T Turner, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 4464 S Dixie Hwy, Middletown, OH 45005 Phone: 513-649-8008 Fax: 513-649-8004
Jessica Yvonne Turner, Counselor Medicare: Not Enrolled in Medicare Practice Location: 160 N Breiel Blvd, Middletown, OH 45042 Phone: 513-941-4999 Fax: 513-694-0168
Robert French, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4464 S Dixie Hwy, Middletown, OH 45005 Phone: 513-649-8008

Mrs Katherine Renee Moore, LPCC-S - Medicare Counselor in Middletown, OH