Thayne David Moore, MS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

14450 Issued in NE

Practice address

220 W 15TH St
Kearney, NE 68845-6763

Phone

(308) 224-0596

Fax

(308) 224-0596

NPI assigned

Jun 4, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Midwest Encouragement & Counseling Center LLC

  • Community/Behavioral Health Agency
  • Kearney, NE
  • NPI 1881072445
  NPD

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

{
    "created_epoch": "1748995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748995200000",
    "number": "1740174887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2814 W 37TH ST",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688450420",
            "telephone_number": "308-455-7646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 W 15TH ST",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688456763",
            "telephone_number": "308-224-0596",
            "fax_number": "308-224-0596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "THAYNE",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-04",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "14450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jan Allison Moore, PH.D.
• Julie A. Moore, RNC, LIMHP
• Kati Renae Moore
• Miranda Elizabeth Moore, PSYD
• Patrick Daniel Moore, DPM
• Daniel D Moos, CRNA
• Terri Sue Moran, MS, LIMHP, CPC
• Morgan Medical LLC (See The Trainer - TriCities)
• Haylee M Morphew
• Michelle Lee Morris, PT

• Mental Health Counselor in Kearney, NE
• Providers in Kearney, NE by specialty
• Mental Health Counselor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.