Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Eric Moore, PHD

Individual provider Professional Counselor · NPI 1417805540

Dr. Eric Moore, PHD is a Mental Health Counselor in Philadelphia, Pennsylvania. Qualified in 2024, 2 years ago. Practices with Che Senior Care Therapy Services, PC, a 24-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
2
Licensed in
PA
In the registry since
2026
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

4064 Conshohocken Ave # A31
Philadelphia, PA 19131-2826
Phone: (248) 217-5743
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence PC020122 (PA)

Record details

NPI number1417805540
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedMarch 16, 2026
Last updated in NPPESApril 17, 2026
Certification dateApril 17, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Che Senior Care Therapy Services, Pc — 24 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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