COURTNEY MOORE (NPI# 1003178559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003178559 |
| Entity Type | Individual |
| Full Name | COURTNEY MOORE |
| Practice Address |
2055 Garrett Way Ste 2 Pocatello ID 83201-5100 |
| Mailing Address |
Po Box 4908 Pocatello ID 83205-4908 |
| Practice Telephone | 2082337832 |
| Mailing Telephone | 2082361600 |
| Enumeration Date | 2012-06-11 |
| Last Update Date | 2012-06-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952832677 | Courtney Moore | Behavior Technician | 1675 Sw Marlow Ave Ste 204, Portland, OR 97225-5102 | 2017-03-23 |
| 1306290333 | Courtney Michelle Moore | Student in an Organized Health Care Education/Training Program | 3852 W 370 Rd, Adair, OK 74330-2792 | 2016-04-15 |
| 1639543887 | Courtney King Moore | Counselor | 650 Henderson Dr Ste 432, Cartersville, GA 30120-3760 | 2015-11-25 |
| 1154734812 | Courtney Magdalene Moore | Internal Medicine | 22250 Providence Dr Ste 301, Southfield, MI 48075-6211 | 2014-06-10 |
| 1093068306 | Courtney Rose Moore | Behavioral Analyst | 14131 Midway Rd Ste 800, Addison, TX 75001-3627 | 2012-10-24 |
| 1538499157 | Courtney Keese Moore | Acupuncturist | 605 Chenery Street, Suite C, San Francisco, CA 94131-2956 | 2010-01-04 |
| 1316194053 | Courtney Savannah Moore | Counselor | 45 Olguin Rd, Jarales, NM 87023-9703 | 2008-08-25 |
| 1205030004 | Courtney Claude Moore | Pharmacist | 1864 Union St, Clearwater, FL 33763-2246 | 2007-06-14 |
| 1962548925 | Courtney Joseph Moore | Physical Therapist | 2251 Country Club Lane, Selma, CA 93662 | 2007-01-29 |
| 1043810922 | Courtney Moore | Pharmacist | 262 Cordele Rd, Albany, GA 31705-2407 | 2020-10-29 |
| Street Address |
2055 GARRETT WAY STE 2 |
| City | POCATELLO |
| State | ID |
| Zip Code | 83201-5100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174629976 | Portneuf Valley Family Center | Counselor | 2055 Garrett Way, Suite 1, Pocatello, ID 83201-5100 | 2006-09-16 |
| 1326498981 | Idaho Transportation Company, Inc | Non-emergency Medical Transport (VAN) | 2055 Garrett Way, Pocatello, ID 83201-5100 | 2016-06-14 |
| 1225304074 | Trevor Sparrow | Counselor | 2055 Garrett Way, Ste 1, Pocatello, ID 83201-5100 | 2012-03-27 |
| 1396011284 | Mandy Tate | Counselor | 2055 Garrett Way, Ste 1, Pocatello, ID 83201-5100 | 2012-03-26 |
| 1285900183 | Brett Sayer | Counselor | 2055 Garrett Way, Ste 1, Pocatello, ID 83201-5100 | 2012-03-26 |
| 1841565199 | Joann S Martinez | Social Worker | 2055 Garrett Way, Pocatello, ID 83201-5100 | 2012-03-20 |
| 1285907154 | Kerry Olson | Counselor | 2055 Garrett Way, Ste 1, Pocatello, ID 83201-5100 | 2012-02-22 |
| 1043580855 | Darci J Kearn | Counselor | 2055 Garrett Way, Ste 2, Pocatello, ID 83201-5100 | 2012-01-10 |
| 1669742524 | Larry Lisonbee | Counselor | 2055 Garrett Way, Ste 2, Pocatello, ID 83201-5100 | 2012-01-10 |
| 1013287879 | Steven Peters | Counselor | 2055 Garrett Way, Ste 2, Pocatello, ID 83201-5100 | 2012-01-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235765330 | Timothy Palmer | Social Worker | 400 S 11th Ave, Ste 204, Pocatello, ID 83201 | 2020-03-20 |
| 1225687759 | Hanna Percy | Nurse Practitioner | 1151 Hospital Way Ste 201, Pocatello, ID 83201 | 2019-09-07 |
| 1659935195 | Carol Jane Dillon | Counselor | 707 North 7th Avenue, Suite D, Pocatello, ID 83201 | 2019-04-30 |
| 1154801595 | Mv Pocatello Ent, LLC | Otolaryngology | 333 N 18th Ave Ste B3, Pocatello, ID 83201 | 2018-08-15 |
| 1306344346 | Ruth Anne Patton | Social Worker | 850 E Young St, Pocatello, ID 83201 | 2018-01-24 |
| 1598289274 | Lucas Alexander Bryan | Specialist/Technologist | 1535 E Terry St, Pocatello, ID 83201 | 2017-08-03 |
| 1205365632 | Geno Alan Giovanini | Denturist | 115 S. 15th Ave. Ste. D, Pocatello, ID 83201 | 2017-06-08 |
| 1518415942 | Kelli Fries-geslin | Nurse Practitioner | 500 South 11 Ave Suite 400, Pocatello, ID 83201 | 2016-09-14 |
| 1346797842 | Shailyn Jenkins | Specialist/Technologist | 665 Warren Ave., Pocatello, ID 83201 | 2016-09-01 |
| 1992258149 | Christopher Jared White | Social Worker | 300 N 7th Ave, Pocatello, ID 83201 | 2016-07-24 |
| Find all providers in zip 83201 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811595929 | Idaho State University | Counselor | 1400 E Terry Dr Bldg 63, Pocatello, ID 83209-0001 | 2020-10-12 |
| 1255971024 | Cognitive Restructuring, LLC. | Counselor | 707 N 7th Ave Ste D, Pocatello, ID 83201-5796 | 2020-01-09 |
| 1295378727 | Truenorth Counseling & Consulting, LLC | Counselor | 1440 E Terry St Garrison Hall Bldg 63, Room 725, Pocatello, ID 83209-8120 | 2019-10-28 |
| 1659935195 | Carol Jane Dillon | Counselor | 707 North 7th Avenue, Suite D, Pocatello, ID 83201 | 2019-04-30 |
| 1124597109 | Cindy Lynn Woodman | Counselor | 1070 Hiline Rd # 201, Pocatello, ID 83201-2947 | 2018-11-19 |
| 1568823060 | Jeffery Porter | Counselor | 151 N 3rd Ave Ste 404, Pocatello, ID 83201-6331 | 2016-03-10 |
| 1972988517 | Ashley Vargas | Counselor | 1352 E Center St Ste A, Pocatello, ID 83201-4773 | 2015-07-24 |
| 1427437383 | Bannock County Family Treatment Center | Counselor | 141 N 6th Ave, Pocatello, ID 83201-6209 | 2015-05-26 |
| 1699165456 | Terry Jeanne Kerler | Counselor | 524 S 6th Ave, Pocatello, ID 83201-5811 | 2015-02-02 |
| 1760882740 | Tara Ashley | Counselor | 2023 Cassia St, Pocatello, ID 83201-2066 | 2014-08-27 |
| Find all providers in POCATELLO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.