Active NPI
Taylor Patrick Moore, LPC
- Professional Counselor
- Trumann, AR
National Provider Identifier
1013658384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- P2601018
- Practice address
- 104 Independence Dr
Trumann, AR 72472-2045 - Phone
- (870) 970-4383
- Fax
- (888) 977-2956
- NPI assigned
- Apr 2, 2022
- Last updated
- Jan 14, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | P2601018 | AR | Primary |
Addresses
Primary practice location
104 Independence Dr
Trumann, AR 72472-2045
Mailing address
1707 Linwood Dr Ste B
Paragould, AR 72450-5365
Other practice location 1
809 W Main St Ste C-D
Trumann, AR 72472-2611
Phone (870) 483-0068
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P2601018 | AR | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nextstep Counseling Services, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Paragould, AR
- NPI 1801488317
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768348800000",
"number": "1013658384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1707 LINWOOD DR STE B",
"city": "PARAGOULD",
"state": "AR",
"postal_code": "724505365",
"fax_number": "888-977-2956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 INDEPENDENCE DR",
"city": "TRUMANN",
"state": "AR",
"postal_code": "724722045",
"telephone_number": "870-970-4383",
"fax_number": "888-977-2956"
}
],
"practiceLocations": [
{
"address_1": "809 W Main St Ste C-D",
"address_purpose": "LOCATION",
"city": "Trumann",
"state": "AR",
"postal_code": "724722611",
"country_code": "US",
"telephone_number": "870-483-0068",
"fax_number": "870-483-0066",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOORE",
"first_name": "TAYLOR",
"middle_name": "PATRICK",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-04-02",
"last_updated": "2026-01-14",
"certification_date": "2026-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AR",
"license": "P2601018",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Trumann, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.