Delterra

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

DELTERRA

Doing business as

Moore Balance Coaching & Counseling

Practice address

172 Charles PL
Rexburg, ID 83440-5452

Phone

(385) 437-0188

Fax

(855) 710-7572

NPI assigned

May 12, 2022

Last updated

May 12, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dalynn N Moore, LCPCNPI 1225446354

Title

Owner/Clinician

Phone

(385) 437-0188

Specialties & licenses 1

Addresses

Other names 1

• Moore Balance Coaching & Counseling Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dalynn N Moore, MC, LPC

  • Mental Health Counselor
  • Rexburg, ID
  • NPI 1225446354
  NPD Authorized official

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

{
    "created_epoch": "1652313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652313600000",
    "number": "1366188294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 CHARLES PL",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834405452",
            "telephone_number": "208-557-1544",
            "fax_number": "855-710-7572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 CHARLES PL",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834405452",
            "telephone_number": "385-437-0188",
            "fax_number": "855-710-7572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTERRA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-12",
        "last_updated": "2022-05-12",
        "certification_date": "2022-05-12",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "DALYNN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER/CLINICIAN",
        "authorized_official_telephone_number": "385-437-0188",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moore Balance Coaching & Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeremy Davis, PHARM D
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• Amy Lynne Demordaunt, RN
• Wade Roger Demordaunt, O.D.
• Kerry Denney, M.ED.
• Dental Health Center
• Dentistry for Kids P.a.

• Mental Health Counselor in Rexburg, ID
• Providers in Rexburg, ID by specialty
• Mental Health Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2022; 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.