Active NPI 1053580258 Individual Practitioner Female Practitioner

Eileen Louise Moore , MA, MS, LMHC

Counselor - Mental Health • Crestview, FL

Professional Overview & Biography Verified Profile Summary

Eileen Moore, MA, MS, LMHC is a registered healthcare professional specializing in Counselor - Mental Health in Crestview, FL. Practice services are available at 6268 OLD BETHEL RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6268 Old Bethel Rd

Crestview, FL 325365505

Telephone 8503532677

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Mental Health in Crestview, FL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 12.4 Yrs

State Avg: 15.5 Yrs

Regional Practice Density

42 Specialists

Practicing in Crestview, FL (23930 Statewide)

Telehealth Adoption Rate

2.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-09-26

Counselor - Mental Health Primary Specialty

NUCC Taxonomy Code: 101YM0800X

State License FL MH9518

Definition to come...

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

State License None MH9518

Definition to come...

Practice Associates & Co-Workers

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

2 Associated Practitioners

Christina Berry , MS, LMHC

Counselor - Mental Health

NPI 1770949679

Master of Science, Licensed Mental Health Counselor

Laura Christianson , LCSW

Social Worker - Clinical

NPI 1992375174

Licensed Clinical Social Worker

Career & Practice History Timeline

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

9 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 12, 2023

Counselor (License #MH9518 in None)

📍

Updated Practice Location August 09, 2023

Registered at 6268 OLD BETHEL RD, CRESTVIEW, FL 325365505 (Tel: 8506784411)

📍

Updated Business Mailing Address August 09, 2023

Registered at 6268 OLD BETHEL RD, CRESTVIEW, FL 325365505 (Tel: 8506784411)

✅

NPI Profile Active May 20, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location May 20, 2010

Registered at 1145 12TH ST, VERO BEACH, FL 329603718 (Tel: 8157619151)

📍

Updated Business Mailing Address May 20, 2010

Registered at 1145 12TH ST, VERO BEACH, FL 329603718 (Tel: 8157619151)

👤

Provider Name / Credentials Updated May 20, 2010

Recorded as EILEEN MOORE, MA, MS, LMHC

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 20, 2010

Counselor (License #MH9518 in FL)

🟢

Initial NPI Registration & Enumeration February 21, 2008

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: 1053580258

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: February 21, 2008

Last Update: September 26, 2024

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

6268 Old Bethel Rd

Crestview, FL 325365505

Phone: 8503532677

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.