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

Isaac Moore, LPC

Individual provider Professional Counselor · NPI 1174249163

Isaac Moore, LPC is a Mental Health Counselor in Montgomery, Alabama. Qualified in 2020, 6 years ago. Practices with Gardenia Cove Mental Health PC, a 40-clinician group and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
6
Licensed in
AL
In the registry since
2022
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

4110 Fitzpatrick Blvd Apt 2401
Montgomery, AL 36116-4835
Phone: (251) 508-6900
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 4516 (AL)

Record details

NPI number1174249163
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorYes
NPI enumeratedOctober 12, 2022
Last updated in NPPESOctober 12, 2022
Certification dateOctober 12, 2022

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Gardenia Cove Mental Health Pc — 40 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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