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BRIAN MOORE LPCC
NPI 1124541933
Counselor - Mental Health in Andover, MN

Active since July 24, 2017PECOS Enrolled
1875 STATION PKWY NW, ANDOVER, MN 55304(763) 482-9598 Get Directions Write a Review

NPPES record last updated: October 25, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 24, 2020, Jul 24, 2017 (2 updates tracked since 2017).

About Brian Moore Lpcc NPPES

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

BRIAN MOORE LPCC (NPI 1124541933) is an individual mental health provider in Andover, Minnesota, licensed in Minnesota (01555) and active in the NPI registry since July 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124541933
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameBRIAN MOORECredential: LPCC
Location Address1875 STATION PKWY NWAndover, MN 55304-3319
Mailing Address1875 Station Pkwy NwAndover, MN 55304-3319 · (763) 482-9598
Phone(763) 482-9598
Sole ProprietorNo
Enumeration DateJuly 24, 2017
Last NPPES UpdateOctober 25, 20242 updates tracked since enumeration
NPPES CertifiedOctober 25, 2024
✔ NPI 1124541933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MN · 01555
1875 STATION PKWY NW, Andover, MN 55304
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brian Moore Lpcc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

LAUREN KEATING LADC
Counselor (Mental Health)
1875 STATION PKWY NW
ANDOVER, MN 55304
Anoka County (763) 482-9598
SOPHIA C PIMSLER
Marriage & Family Therapist
1875 STATION PKWY NW
ANDOVER, MN 55304
Anoka County (763) 482-9598
BROOKE ANN FLEMING MS, LMFT
Counselor (Mental Health)
1875 STATION PKWY NW
ANDOVER, MN 55304
Anoka County (763) 482-9598
RONDILIENNE NICHOLE CHASTANET MS, LMFT
Marriage & Family Therapist
1875 STATION PKWY NW
ANDOVER, MN 55304
Anoka County (763) 482-9598
KELLAN VENCIL
Counselor (Professional)
1875 STATION PKWY NW
ANDOVER, MN 55304
Anoka County (763) 482-9598
AMANDA CHRISTINE HOHAG M.S.
Counselor (Professional)
1875 STATION PKWY NW
ANDOVER, MN 55304
Anoka County (763) 482-9598
MRS. SHEILA LYNN KOSEK LICSW
Social Worker (Clinical)
1875 STATION PKWY NW
ANDOVER, MN 55304
Anoka County (763) 482-9598
KATELYN HEJNA
Counselor (Professional)
1875 STATION PKWY NW
ANDOVER, MN 55304
Anoka County (612) 413-6629

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 Brian Moore's NPI number?

The NPI number for Brian Moore is 1124541933. It was assigned to this individual provider in the NPPES registry on July 24, 2017.

Where is Brian Moore located?

Brian Moore practices at 1875 Station Pkwy NW, Andover, MN 55304. The listed phone number is (763) 482-9598.

What is Brian Moore's specialty?

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

Is Brian Moore enrolled in Medicare?

Yes. Brian Moore is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Brian Moore was last updated on October 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.