JENNIFER DANLEE MOORE (LPC) – Counselor, NPI 1508385857
Counselor
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,813 MENTAL HEALTH COUNSELOR in MN
Provider Addresses for JENNIFER DANLEE MOORE (LPC)
3040 17TH AVE S
MINNEAPOLIS, MN 554071819
Phone: (317) 987-6394
Type: Mailing
212 10TH AVE S APT 1011
MINNEAPOLIS, MN 554151381
Phone: (317) 987-6394
Type: Mailing
652 BIELENBERG DR STE 202
WOODBURY, MN 551254480
Phone: (651) 317-3902
Fax: (833) 972-4801
Type: Location
663 W BERWICK DR
BOISE, ID 837064717
Phone: (208) 917-1131
Type: Mailing
184, South Orchard Street, Central Bench, Boise Junction, Boise, Ada County, Idaho, 83705, United States
BOISE, ID 837051293
Phone: (208) 922-6714
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2026-02-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20260204002162 | I | Mental Health Counselor | MN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 55407)
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