Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1083162747 Individual Practitioner Female Practitioner

Mary Moore , LPCC, LICDC

Counselor - Professional • Cincinnati, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Mary Moore, LPCC, LICDC is a certified Counselor - Professional practicing in Cincinnati, OH. With approximately 7 years of clinical experience since completing medical education in 2019, Mary Moore delivers high-quality medical care to the local community at 446 MORGAN ST.

Mary Moore is affiliated with Talbert House and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

446 Morgan St

Cincinnati, OH 452062348

Telephone 5138347063
Fax 5138731567
Associated Practice Facility / Clinic
🏢 Parag Patel Md Pllc Facility NPI 1982634044

Medicare Profile & Education

Medical School

Other

Graduation Year

2019

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Cincinnati, OH

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
7 Yrs -6.6 yrs vs City Avg
City Avg: 13.6 Yrs
State Avg: 15.9 Yrs
Regional Practice Density
569 Specialists

Practicing in Cincinnati, OH (6923 Statewide)

Telehealth Adoption Rate
4.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Moore (7 Years) 7 Yrs
Cincinnati Specialty Average (13.6 Years) 13.6 Yrs

Medical Specialties & State Licenses

CMS Verified: 2023-08-15
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License OH E.2202957

Definition to come...

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

State License OH LICDC.161907

Definition to come...

Hospital & Practice Group Affiliations

Talbert House

4968 Glenway Ave, Cincinnati, OH 452383902

Phone: 5138536570

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Patricia Burns , APRN

Nurse Practitioner - Family

NPI 1003225327

Advanced Practice Registered Nurse

Jason Carmody

Counselor - Addiction (Substance Use Disorder)

NPI 1013414127
Megan Russell , LPCC, CADC

Counselor - Professional

NPI 1013469501

Licensed Professional Clinical Counselor, Certified Alcohol and Drug Counselor

Katrina Kanigoski , LCDCII

Counselor - Addiction (Substance Use Disorder)

NPI 1013469931
Cheryl Smith , CDCA

Counselor - Addiction (Substance Use Disorder)

NPI 1023603644

Chemical Dependency Counselor Assistant

Amy Brewster , CDCA

Counselor - Addiction (Substance Use Disorder)

NPI 1023772795

Chemical Dependency Counselor Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

16 Historical Events
📍
Updated Business Mailing Address August 15, 2023

Registered at 4600 MONTGOMERY RD STE 400, CINCINNATI, OH 452122600 (Tel: 8335104357)

👤
Provider Name / Credentials Updated August 15, 2023

Recorded as MARY MOORE, LPCC/LICDC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 13, 2022

Counselor (License #LICDC.161907 in OH)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 11, 2021

Counselor (License #C.1901942 in OH)

👤
Provider Name / Credentials Updated February 19, 2020

Recorded as MARY MOORE, LICDC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 19, 2020

Counselor (License #LICDC.161907 in OH)

📍
Updated Practice Location October 26, 2018

Registered at 446 MORGAN ST, CINCINNATI, OH 452062348 (Tel: 5138347063)

📍
Updated Business Mailing Address October 26, 2018

Registered at 446 MORGAN ST, CINCINNATI, OH 452062348 (Tel: 5138347063)

👤
Provider Name / Credentials Updated October 26, 2018

Recorded as MARY MOORE, LCDCIII

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 26, 2018

Counselor (License #LCDCIII.161809 in OH)

NPI Profile Active September 12, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location September 12, 2016

Registered at 2300 WALL ST STE F, CINCINNATI, OH 452122794 (Tel: 5138347063)

📍
Updated Business Mailing Address September 12, 2016

Registered at 2300 WALL ST STE F, CINCINNATI, OH 452122794 (Tel: 5138347063)

👤
Provider Name / Credentials Updated September 12, 2016

Recorded as MARY MOORE, CDCA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 12, 2016

Counselor (License #CDCA.161172 in OH)

🟢
Initial NPI Registration & Enumeration September 12, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1083162747
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 12, 2016
Last Update: August 15, 2023
Sole Proprietor: Yes

Mailing Address

4600 Montgomery Rd Ste 400

Cincinnati, OH 452122600

Phone: 8335104357

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.