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

Mary Moore, LPCC/LICDC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1083162747

Mary Moore, LPCC/LICDC is a Mental Health Counselor in Cincinnati, Ohio. Qualified in 2019, 7 years ago. Practices with Talbert House, a 38-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
7
Licensed in
OH
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

446 Morgan St
Cincinnati, OH 45206-2348
Phone: (513) 834-7063
Fax: (513) 873-1567
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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 E.2202957 (OH)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence LICDC.161907 (OH)

Record details

NPI number1083162747
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPCC/LICDC
Sole proprietorYes
NPI enumeratedSeptember 12, 2016
Last updated in NPPESAugust 15, 2023
Certification dateAugust 15, 2023

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Talbert House — 38 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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