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

Evanni Moore

Individual provider Mental Health Counselor · NPI 1790345759

Evanni Moore is a Mental Health Counselor in Quincy, Massachusetts. Qualified in 2023, 3 years ago. Practices with South Shore Mental Health Center Inc, a 35-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
3
Licensed in
MA
In the registry since
2019
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Practice location Address checks out

2300 Crown Colony Dr Ste 202
Quincy, MA 02169-0902
Phone: (781) 551-0999
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence LMHC10005218 (MA)

Record details

NPI number1790345759
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 20, 2019
Last updated in NPPESDecember 17, 2025
Certification dateDecember 17, 2025
Mailing addressPo Box 675153, Detroit, MI 48267-5153

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice South Shore Mental Health Center Inc — 35 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Quincy