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

Ginelle Moore

Individual provider Mental Health Counselor · NPI 1730569534

Ginelle Moore is a Mental Health Counselor in Riverview, Florida. Qualified in 2007, 19 years ago. Practices with Family Care Center LLC, a 693-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
19
Licensed in
FL
In the registry since
2015
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Practice location Address checks out

6020 Portsdale Pl Unit 102
Riverview, FL 33578-4156
Phone: (813) 310-4589
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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 IMH 13461 (FL)

Record details

NPI number1730569534
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 5, 2015
Last updated in NPPESJune 5, 2015
Mailing addressPo Box 89606, Tampa, FL 33689-0410

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Family Care Center Llc — 693 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Riverview