WHITNEY MOORE (LPC-S) – Mental Health Counselor, NPI 1083004204

WHITNEY MOORE (LPC-S) is a healthcare provider. based in Owasso, Oklahoma. specializing in Mental Health Counselor. They hold the professional credentials LPC-S. They hold a License No. 07332 (OK). The NPI Number for WHITNEY MOORE (LPC-S) is 1083004204

Main info

Female
Sole Proprietor
Name
WHITNEY MOORE (LPC-S)
NPI
1083004204
Phone
(918) 729-2415
Address
8802 N 136TH EAST AVE
Enumeration Date
26 January 2015
Last Update Date
12 August 2024
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:11State licenses:1Digital endpointsOther names

Provider Addresses for WHITNEY MOORE (LPC-S)

  • 8802 N 136TH EAST AVE

    OWASSO, OK 740554799

    Phone: (918) 729-2415

    Type: Mailing

  • 700 S PENN AVE

    BARTLESVILLE, OK 740033847

    Phone: (918) 337-8080

    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: 2023-12-18

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231218004368IMental Health CounselorOKTBD

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.

Verify on CMS Revalidation Lookup Tool

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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 74055)

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Reviews

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Frequently asked questions

What federal number belongs to WHITNEY MOORE (LPC-S)?
The federal identifier for WHITNEY MOORE (LPC-S) is NPI 1083004204.
Is WHITNEY MOORE (LPC-S)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does WHITNEY MOORE (LPC-S) list a primary specialty?
If you are matching referrals, note Mental Health Counselor for WHITNEY MOORE (LPC-S). Clinical services aligned with this taxonomy classification.
Does WHITNEY MOORE (LPC-S) practice in Oklahoma?
You will see Owasso, Oklahoma on file for WHITNEY MOORE (LPC-S) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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