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

Jennifer Danlee Moore, LPC

Individual provider Professional Counselor · NPI 1508385857

Jennifer Danlee Moore, LPC is a Mental Health Counselor in Minneapolis, Minnesota. Qualified in 2016, 10 years ago. Practices as a sole proprietor. Licensed in Minnesota.

Years since qualifying
10
Licensed in
MN
In the registry since
2017
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

3040 17th Ave S
Minneapolis, MN 55407-1819
Phone: (317) 987-6394
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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 5295 (MN)

Record details

NPI number1508385857
Entity typeIndividual (Type 1)
GenderNot disclosed
Credentials LPC
Sole proprietorYes
NPI enumeratedSeptember 18, 2017
Last updated in NPPESNovember 30, 2025
Certification dateNovember 30, 2025

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Not indicated

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