Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

MARK EARL MOORE MA, LPC, NCC
NPI 1104748979
Counselor - Mental Health in Farmington, MO

Active since July 27, 2026
209 ADDIE DR, FARMINGTON, MO 63640(573) 783-9758 Get Directions Write a Review

NPPES record added: July 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mark Earl Moore Ma, Lpc, Ncc NPPES

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

MARK EARL MOORE MA, LPC, NCC (NPI 1104748979) is an individual mental health provider in Farmington, Missouri, licensed in Missouri (2012041944) and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1104748979
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMARK EARL MOORECredential: MA, LPC, NCC
Location Address209 ADDIE DRFarmington, MO 63640-3458
Mailing Address209 Addie DrFarmington, MO 63640-3458 · (573) 783-9758
Sole ProprietorYes
Enumeration DateJuly 27, 2026
NPPES CertifiedJuly 26, 2026
NPI 1104748979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in MO · 2012041944
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 2012041944 (MO)
209 ADDIE DR, Farmington, MO 63640

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
209 ADDIE DR
FARMINGTON, MO 63640

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 Mark Moore's NPI number?

The NPI number for Mark Moore is 1104748979. It was assigned to this individual provider in the NPPES registry on July 27, 2026.

Where is Mark Moore located?

Mark Moore practices at 209 Addie Dr, Farmington, MO 63640. The listed phone number is (573) 783-9758.

What is Mark Moore's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Mark Moore was last updated on July 27, 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.