Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

SHANE MOORE LCPC-C
NPI 1053234450
Counselor - Professional in Saco, ME

Q: What is Shane Moore's NPI number?

The NPI number for Shane Moore is 1053234450. It was assigned to this individual provider in the NPPES registry on August 3, 2026.

Q: What is Shane Moore's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Shane Moore was last updated on August 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 03, 2026

4 SCAMMON ST STE 19-305, SACO, ME 04072(617) 657-9460 Get Directions Write a Review

NPPES record added: August 3, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Shane Moore Lcpc-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANE MOORE LCPC-C (NPI 1053234450) is an individual professional provider in Saco, Maine, licensed in Maine (XL8807) and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1053234450

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameSHANE MOORECredential: LCPC-C

Location Address4 SCAMMON ST STE 19-305Saco, ME 04072-5121

Mailing Address4 Scamman St, Suite 19-305Saco, ME 04072-5121 · (617) 657-9460

Phone(617) 657-9460

Sole ProprietorNo

Enumeration DateAugust 3, 2026

NPPES CertifiedAugust 3, 2026

✔ NPI 1053234450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in ME · XL8807

4 SCAMMON ST STE 19-305, Saco, ME 04072

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shane Moore's NPI number?

The NPI number for Shane Moore is 1053234450. It was assigned to this individual provider in the NPPES registry on August 3, 2026.

Where is Shane Moore located?

Shane Moore practices at 4 Scammon St Ste 19-305, Saco, ME 04072. The listed phone number is (617) 657-9460.

What is Shane Moore's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Shane Moore was last updated on August 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.