Jace Nichole Moore, LPCC is a
Counselor based in Wyoming, Ohio. Jace Nichole Moore is licensed to practice in Ohio (license number E.2607197) and her current practice location is
134 Elm Ave, Wyoming, Ohio. She can be reached at her office (for appointments etc.) via phone at
(513) 206-7315.
NPI number for Jace Nichole Moore is 1205675717 and her current mailing address is 5050 Madison Rd, Cincinnati, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1205675717.
Healthcare Provider's Profile
| Full Name | Jace Nichole Moore |
|---|
| Gender | Female |
|---|
| Speciality | Counselor |
|---|
| Location | 134 Elm Ave, Wyoming, Ohio |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1205675717
- Provider Enumeration Date: 05/23/2024
- Last Update Date: 08/19/2026
Medical Identifiers
Medical identifiers for Jace Nichole Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1205675717 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101Y00000X | Counselor | E.2607197 (Ohio) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jace Nichole Moore is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Jace Nichole Moore, LPCC 5050 Madison Rd, Cincinnati, OH 45227-1491 Ph: (513) 272-2800 | Jace Nichole Moore, LPCC 134 Elm Ave, Wyoming, OH 45215-4326 Ph: (513) 206-7315 |
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