Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1962800102 Individual Practitioner Female Practitioner

Cecily Renee Moore , LPC-MHSP

Counselor - Professional • Jackson, TN

Professional Overview & Biography Verified Profile Summary

Cecily Moore, LPC-MHSP is a registered healthcare professional specializing in Counselor - Professional in Jackson, TN. Practice services are available at 15 BENT TWIG DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

15 Bent Twig Dr

Jackson, TN 383056477

Telephone 7313944555
Associated Practice Facility / Clinic
🏢 Cope And Wit Counseling Facility NPI 1619550589

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Jackson, TN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.8 Yrs
State Avg: 12.3 Yrs
Regional Practice Density
36 Specialists

Practicing in Jackson, TN (2255 Statewide)

Telehealth Adoption Rate
13.9% 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: 2023-10-18
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License TN 4522

Definition to come...

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

Definition to come...

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.

Career & Practice History Timeline

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

12 Historical Events
📍
Updated Practice Location October 18, 2023

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

📍
Updated Business Mailing Address October 18, 2023

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

👤
Provider Name / Credentials Updated October 18, 2023

Recorded as CECILY MOORE, LPC-MHSP

📍
Updated Practice Location October 17, 2019

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

📍
Updated Business Mailing Address October 17, 2019

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

👤
Provider Name / Credentials Updated October 17, 2019

Recorded as CECILY MOORE

NPI Profile Active December 19, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location December 19, 2014

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

📍
Updated Business Mailing Address December 19, 2014

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

👤
Provider Name / Credentials Updated December 19, 2014

Recorded as CECILY TAYLOR

🎓
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.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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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

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.