MR. TIMOTHY HOWARD MOORE (NPI# 1144494881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144494881 |
| Entity Type | Individual |
| Full Name | MR. TIMOTHY HOWARD MOORE |
| Credential | L.P.C. |
| Practice Address |
3040 N University Ave Suite 2 Decatur IL 62526-1391 |
| Practice Telephone | 2178721700 |
| Practice Fax Number | 2178721366 |
| Mailing Telephone | 2178721700 |
| Mailing Fax Number | 2178721366 |
| Enumeration Date | 2008-04-14 |
| Last Update Date | 2008-04-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144830605 | Timothy Moore | Counselor | 150 Queenswood Rd, Bolingbrook, IL 60440-2578 | 2020-08-08 |
| 1881172997 | Timothy Ian Moore IIi | Chiropractor | 5365 Mae Anne Ave Ste B10, Reno, NV 89523-1889 | 2018-07-31 |
| 1689193922 | Timothy John Moore | Family Medicine | 180 Reinhard Ave, Columbus, OH 43206-2635 | 2017-09-19 |
| 1629393251 | Timothy O'neal Moore | Driver | 2850 Oak Rd, Pearland, TX 77584-8853 | 2010-04-07 |
| 1376764357 | Timothy Moore | Counselor | 456 Bannock St., Denver, CO 80204 | 2007-05-01 |
| 1932289535 | Timothy Alan Moore | Nurse Practitioner | 115 N Thompson Ln, Murfreesboro, TN 37129-4305 | 2006-10-17 |
| 1184721177 | Timothy Eugene Moore | Physical Therapist | 107 Calumet Center Rd, Lagrange, GA 30241-6705 | 2006-09-20 |
| 1891709465 | Timothy Hamman Moore | Dentist | 2508 Bethel Rd, Columbus, OH 43220-2293 | 2006-07-28 |
| 1578598223 | Timothy James Moore | Dentist | 2603 Crosby Ave, Suite A, Klamath Falls, OR 97603-5776 | 2006-07-11 |
| 1578592903 | Timothy Kevin Moore | Chiropractor | 101 S Mclean Blvd Ste A, South Elgin, IL 60177-1830 | 2006-06-30 |
| Street Address |
3040 N UNIVERSITY AVE SUITE 2 |
| City | DECATUR |
| State | IL |
| Zip Code | 62526-1391 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598871667 | Susan Paige Hall | Counselor | 3040 N University Ave, Suite 2, Decatur, IL 62526-1391 | 2006-08-22 |
| 1598073959 | Mary Elizabeth Garrison | Social Worker | 3040 N University Ave, Suite 2, Decatur, IL 62526-1391 | 2010-09-20 |
| 1760623748 | Carol Sue Wright | Counselor | 3040 N University Ave, Suite 2, Decatur, IL 62526-1391 | 2009-03-20 |
| 1437323235 | Roger Eugene Daniels | Counselor | 3040 N University Ave, Suite 2, Decatur, IL 62526-1391 | 2008-04-14 |
| 1871685115 | Matthew Wayne Hunt | Counselor | 3040 N University Ave, Suite 2, Decatur, IL 62526-1391 | 2006-09-28 |
| 1578654216 | Patricia Marie Brown | Counselor | 3040 N University Ave, Suite 2, Decatur, IL 62526-1391 | 2006-09-27 |
| 1831209758 | David Ray Wence | Counselor | 3040 N University Ave, Ste 2, Decatur, IL 62526-1351 | 2006-08-30 |
| 1184732745 | Decatur Psychological Associates PC | Counselor | 3040 N University Ave, Suite 2, Decatur, IL 62526-1351 | 2006-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083100804 | Coalition | Non-emergency Medical Transport (VAN) | 2375 N Longwood Dr, Decatur, IL 62526 | 2018-07-04 |
| 1881116820 | Bria N Howard | Nurse's Aide | 606 E Warren St. Apt 609, Decatur, IL 62526 | 2017-07-12 |
| 1437683679 | Lutheran Child and Family Services | Foster Care Agency | 2826 N. Monroe Street, Decatur, IL 62526 | 2017-04-14 |
| 1083166326 | Whitney Miller | Pharmacist | 225 East Ash Ave, Decatur, IL 62526 | 2016-11-03 |
| 1487053369 | Central Illinois Health Associates, Inc | Preferred Provider Organization | 2300 N. Edward Street, Decatur, IL 62526 | 2014-08-18 |
| 1659787893 | Stephanie Marie Kanitsch | Obstetrics & Gynecology | 544 W Pershing Rd Ste A, Decatur, IL 62526 | 2014-07-09 |
| 1497169973 | Brian Hassinger | Audiologist-Hearing Aid Fitter | 2605 N Water St Ste 101, Decatur, IL 62526 | 2014-06-12 |
| 1891041570 | Decatur 2016 LLC | Dentist | 141 Epershing Rd, Decatur, IL 62526 | 2012-07-31 |
| 1558639005 | Larry Lee Christensen | Pharmacist | 225 Ash Ave, Decatur, IL 62526 | 2011-12-12 |
| 1174821540 | Nathan Pyle | Internal Medicine | 2 Memorial Dr Ste 101, Decatur, IL 62526 | 2011-03-08 |
| Find all providers in zip 62526 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A 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 experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285244293 | Agape Change Family Counseling & Consultation Services LLC | Counselor | 2128 Willamette Way, Decatur, GA 30032-6036 | 2020-08-04 |
| 1366082356 | Morgan Tudor | Counselor | 433 W Pershing Rd, Decatur, IL 62526-3238 | 2020-01-08 |
| 1083171896 | William Dale Cottrell II | Counselor | 315 W Ponce De Leon Ave Ste 1055, Decatur, GA 30030-2412 | 2019-02-28 |
| 1376000679 | Monica Dawn Ross | Counselor | 106 Lee St. Ne, Suite C, Decatur, AL 35601 | 2019-02-23 |
| 1528538048 | Beatrice Irma Richie | Counselor | 117glen Hollow Circle Apartment #4, Decatur, GA 30034-3003 | 2018-11-27 |
| 1912473711 | Kameshia Hawkins | Counselor | 3011 Rainbow Dr Ste B, Decatur, GA 30034-1643 | 2018-10-18 |
| 1467942706 | Marla Singleton | Counselor | 235 E Ponce De Leon Ave Ste 108, Decatur, GA 30030-3412 | 2018-05-11 |
| 1306348321 | Maureen P Nolan | Counselor | 315 W Ponce De Leon Ave Ste 540, Decatur, GA 30030-2448 | 2018-03-06 |
| 1619493806 | Camille Hankins | Counselor | 2545 Lawrenceville Hwy Ste 150, Decatur, GA 30033-3240 | 2017-08-18 |
| 1609390319 | Subrena Ann Glenn | Counselor | 3745 Brookside Pkwy, Decatur, GA 30034-5714 | 2017-08-03 |
| Find all providers in DECATUR | ||||
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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.