Active NPI
Thomas Phillip Moore II, LPCC
- Counselor
- Palm Springs, CA
National Provider Identifier
1093453532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LPCC21613
- Practice address
- 400 S Farrell Dr
Palm Springs, CA 92262-7964 - Phone
- (760) 620-5554
- NPI assigned
- May 24, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | LPCC21613 | CA | Primary |
Addresses
Primary practice location
400 S Farrell Dr
Palm Springs, CA 92262-7964
Mailing address
400 S Farrell Dr
Palm Springs, CA 92262-7964
Phone (760) 620-5554
Other practice location 1
PO Box 1
Lake Isabella, CA 93240-0001
Phone (760) 614-1157
Other practice location 2
5095 Miriam Ln
Parker, CO 80134-5179
Phone (760) 620-5554 ext. 86074
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 |
|---|---|---|---|
| LPCC21613 | CA | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lutheran Social Services of Southern California | Case Manager/Care Coordinator | Past | Accepting new patients |
| River Sage Revival | Counselor | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Case Manager/Care Coordinator
- Yucca Valley, CA
- NPI 1437555117
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784505600000",
"number": "1093453532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 S FARRELL DR",
"city": "PALM SPRINGS",
"state": "CA",
"postal_code": "922627964",
"telephone_number": "760-620-5554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 S FARRELL DR",
"city": "PALM SPRINGS",
"state": "CA",
"postal_code": "922627964",
"telephone_number": "760-620-5554"
}
],
"practiceLocations": [
{
"address_1": "PO Box 1",
"address_purpose": "LOCATION",
"city": "Lake Isabella",
"state": "CA",
"postal_code": "932400001",
"country_code": "US",
"telephone_number": "760-614-1157",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5095 Miriam Ln",
"address_purpose": "LOCATION",
"city": "Parker",
"state": "CO",
"postal_code": "801345179",
"country_code": "US",
"telephone_number": "760-620-5554 x86074",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOORE",
"first_name": "THOMAS",
"middle_name": "PHILLIP",
"name_prefix": "Mr.",
"name_suffix": "II",
"credential": "LPCC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-05-24",
"last_updated": "2026-07-20",
"certification_date": "2026-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CA",
"license": "LPCC21613",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palm Springs, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.