Organization Active NPI

Victoria Moore Therapy PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chicago, IL
National Provider Identifier
1124510979
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
180.011449 Issued in IL
Legal business name
VICTORIA MOORE THERAPY PLLC
Practice address
53 W Jackson Blvd Ste 438
Chicago, IL 60604-3416
Phone
(312) 809-0652
NPI assigned
Jun 6, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Te You Moore, LCPC, CGP, AGPA-FNPI 1124495916
Title
Owner
Phone
(312) 809-0652

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 180.011449 IL Primary

Addresses

Primary practice location

53 W Jackson Blvd Ste 438
Chicago, IL 60604-3416

Mailing address

53 W Jackson Blvd Ste 438
Chicago, IL 60604-3416
Phone (312) 809-0652

Other names 1

  • Victoria Moore Therapy LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

53 W Jackson Blvd
Ste 438
Chicago, IL 60604
Phone (224) 544-9219

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1528243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749686400000",
    "number": "1124510979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 W JACKSON BLVD STE 438",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606043416",
            "telephone_number": "312-809-0652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 W JACKSON BLVD STE 438",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606043416",
            "telephone_number": "312-809-0652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORIA MOORE THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-06",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "TE",
        "authorized_official_middle_name": "YOU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-809-0652",
        "authorized_official_credential": "LCPC, CGP, AGPA-F"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "IL",
            "license": "180.011449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Victoria Moore Therapy LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.