NPI age
5 years
Enumerated 2021-01-18
● Active
Type 1 · Individual
Marty Jo Moore, RN
Moore is 1 of 144 counselor providers in Boise and 1 of 545 in Idaho.
Primary specialty
Counselor
Licensed in
—
0 states
Status
Active
No deactivations on record
Last NPPES update
2021-01-18
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 545 active counselor providers in Idaho.
NPI age
5 years
↓ 3 yr below median (8 yr)
State licenses
1 state
2% of peers hold multiple states
Subspecialties
0
14% of peers hold subspecialties
NPI lifetime · 2021 → 2026
2021-01Enumerated in NPPES
2021
2026
Where they practice
Practice location
2020 W Spaulding St
Boise, ID 837053551
Mailing address
2020 W Spaulding St
Boise, ID 837053551
Specialties
-
Counselor PrimaryA provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | ZC248462K | DL |
Practice context
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
Recently enumerated nearby: 3 new counselor providers have been added in Boise in the last 180 days.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.