NPI age
14 years
Enumerated 2012-06-11
● Active
Type 1 · Individual
Courtney Moore
Moore is 1 of 165 mental health (counselor) providers in Pocatello and 1 of 2,058 in Idaho.
Primary specialty
Mental Health (Counselor)
Licensed in
NU
1 state
Status
Active
No deactivations on record
Last NPPES update
2012-06-11
Source: CMS NPPES provider record
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 2058 active mental health (counselor) providers in Idaho.
NPI age
14 years
↑ 7 yr above median (7 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
0
20% of peers hold subspecialties
NPI lifetime · 2012 → 2012
2012-06Enumerated in NPPES
2012
2012
Where they practice
Practice location
2055 Garrett Way, Ste 2
Pocatello, ID 832015100
Mailing address
Po Box 4908
Pocatello, ID 832054908
Specialties
-
Counselor PrimaryCMS NPPES uses NUCC taxonomy code 101YM0800X for provider records classified as Mental Health within Counselor. The taxonomy identifies the category reported on the NPI record; it does not by itself verify services offered, current...
Practice context
Part of a multi-provider practice. 53 other active providers share this practice address in NPPES.
Recently enumerated nearby: 6 new mental health (counselor) providers have been added in Pocatello in the last 180 days.
See all →
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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