Organization Active NPI

Moore Counseling & Wellness LLC

  • Clinical Social Worker
  • South Paris, ME
National Provider Identifier
1396624508
Registry record updated Sep 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MOORE COUNSELING & WELLNESS LLC
Practice address
17 Gary St
South Paris, ME 04281-1636
Phone
(207) 418-4101
Fax
(617) 802-5561
NPI assigned
Sep 1, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2025

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

Authorized official

Name
Siobhan Moore, LADC, LCSWNPI 1942872486
Title
Owner
Phone
(207) 418-4101

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

17 Gary St
South Paris, ME 04281-1636

Mailing address

23 Rock-O-Dundee Drive
Oxford, ME 04270-2973
Phone (207) 418-4101

Other names 1

  • Moore Counseling & Wellness, LLC Other name

National Provider Directory

National Provider Directory

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": "1756684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756684800000",
    "number": "1396624508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 ROCK-O-DUNDEE DRIVE",
            "city": "OXFORD",
            "state": "ME",
            "postal_code": "042702973",
            "telephone_number": "207-418-4101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 GARY ST",
            "city": "SOUTH PARIS",
            "state": "ME",
            "postal_code": "042811636",
            "telephone_number": "207-418-4101",
            "fax_number": "617-802-5561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOORE COUNSELING & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-01",
        "last_updated": "2025-09-01",
        "certification_date": "2025-08-31",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "SIOBHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-418-4101",
        "authorized_official_credential": "LADC, LCSW"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moore Counseling & Wellness, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in South Paris, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.