Timothy M Moore LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

TIMOTHY M MOORE LLC

Practice address

704 W Hood Ave
Sisters, OR 97759-1529

Phone

(541) 280-5210

Fax

(541) 280-5210

NPI assigned

Aug 11, 2025

Organization subpart

No

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

Authorized official

Name

Mr. Timothy M Moore, LPCNPI 1982888657

Title

Clinical Director/Owner

Phone

(541) 280-5210

Specialties & licenses 2

Addresses

Other names 1

• Aspen Counseling Doing business as

Locations

Practitioners 1

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

• Timothy M Moore, M.A. L.P.C.

  • Mental Health Counselor
  • Bend, OR
  • NPI 1982888657
  NPD Authorized official

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

{
    "created_epoch": "1754870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755216000000",
    "number": "1255217824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 W HOOD AVE",
            "city": "SISTERS",
            "state": "OR",
            "postal_code": "977591529",
            "telephone_number": "541-280-5210",
            "fax_number": "541-280-5210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 W HOOD AVE",
            "city": "SISTERS",
            "state": "OR",
            "postal_code": "977591529",
            "telephone_number": "541-280-5210",
            "fax_number": "541-280-5210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY M MOORE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-11",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR/OWNER",
        "authorized_official_telephone_number": "541-280-5210",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aspen Counseling",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Aspen Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelly Telfer, RN
• Carol Tewalt
• Therapeutic Associates, Inc
• Three Sisters Healing Arts
• Amy Tice, PHARMD
• Kellie Tippett
• Christopher Tittle, MS, CMHC, LPC
• Elizabeth Tucker
• Audry B Van Houweling, ARNP
• Alana C Vernon, PT, DPT

• All providers in Sisters, OR
• Professional Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.