Timothy M Moore, M.A. L.P.C.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

384 SW Upper Terrace Dr Ste 212
Bend, OR 97702-3514

Phone

(541) 280-5210

NPI assigned

Dec 18, 2007

Last updated

Jan 26, 2022By the provider in NPPES

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Timothy M Moore LLC

  dba Aspen Counseling

  • Professional Counselor
  • Sisters, OR
  • NPI 1255217824
  NPD Authorized official
• Broken Top Counseling, LLC

  • Mental Health Counselor
  • Bend, OR
  • NPI 1679217673
  NPD (past) Authorized official
• Timothy Moore

  • Counselor
  • Bend, OR
  • NPI 1821667304
  Authorized official Same address or phone

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

{
    "created_epoch": "1197936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643155200000",
    "number": "1982888657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 282",
            "city": "SISTERS",
            "state": "OR",
            "postal_code": "977590282",
            "telephone_number": "541-280-5210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "384 SW UPPER TERRACE DR STE 212",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023514",
            "telephone_number": "541-280-5210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "TIMOTHY",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "M.A.   L.P.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-18",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Marie Moore, RN
• Kathleen R Moore, MD
• Mary Major Moore, LMT
• Michele Ann Moore, RN
• Sierra Moore
• Michelle Alexandra Mora
• Amber Marie Morales, FNP-C
• Crystal Morales
• Madison Morales
• Evan D Moran, PHARMD

• Mental Health Counselor in Bend, OR
• Providers in Bend, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.