| Jessica Moore, LPC | |
|
671 Cheehaw Ave, West Columbia, SC 29170-2276 | |
| (803) 477-6255 | |
| Not Available |
| Full Name | Jessica Moore |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 4 Years |
| Location | 671 Cheehaw Ave, West Columbia, South Carolina |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720718240 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 10429 (South Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Oceanic Counseling Group Llc | 4486067600 | 26 |
| Entity Name | Oceanic Counseling Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922631522 PECOS PAC ID: 4486067600 Enrollment ID: O20210107002393 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Moore, LPC 671 Cheehaw Ave, West Columbia, SC 29170-2276 Ph: (803) 477-6255 | Jessica Moore, LPC 671 Cheehaw Ave, West Columbia, SC 29170-2276 Ph: (803) 477-6255 |
Tara Kay Maddox, CPA, EA, PTIN Counselor Medicare: Not Enrolled in Medicare Practice Location: 319 Senn St, West Columbia, SC 29169 Phone: 803-278-5747 Fax: 803-278-5747 | |
John Loren Safko, M.ED. Counselor Medicare: Not Enrolled in Medicare Practice Location: 130 Hospital Dr N, West Columbia, SC 29169 Phone: 803-739-8600 | |
Amanda Charlotte-weinland Davis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2490 Fish Hatchery Rd Unit G3, West Columbia, SC 29172 Phone: 916-397-7852 | |
William Ryan Taylor, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4788 Platt Springs Rd, West Columbia, SC 29170 Phone: 803-359-8595 | |
Tiffany Deanna Johnson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 371 Lake Frances Dr, West Columbia, SC 29170 Phone: 803-429-1259 | |
Devin Dotter, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2277 Sunset Blvd, West Columbia, SC 29169 Phone: 888-796-1117 Fax: 803-996-5228 | |
Sharon Denice Harvin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 130 Hospital Dr N, West Columbia, SC 29169 Phone: 803-739-8600 |