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TRACEY MOORE
NPI 1184105090
Counselor in South Bend, IN

Active since August 28, 2018
415 E MADISON ST, SOUTH BEND, IN 46617(574) 533-1234(574) 537-2652 Get Directions Write a Review

NPPES record last updated: August 28, 2018. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Tracey Moore NPPES

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

TRACEY MOORE (NPI 1184105090) is an individual counselor in South Bend, Indiana and active in the NPI registry since August 2018.

NPPES Registry Identity

NPI1184105090
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameTRACEY MOORE
Location Address415 E MADISON STSouth Bend, IN 46617-2322
Mailing Address330 Lakeview DrGoshen, IN 46528-7000 · (574) 533-1234 · Fax (574) 537-2652
Phone(574) 533-1234
Fax(574) 537-2652
Sole ProprietorNo
Enumeration DateAugust 28, 2018
✔ NPI 1184105090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
415 E MADISON ST, South Bend, IN 46617
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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.

BREANA S BOWSHER MSW
Social Worker
415 E MADISON ST
SOUTH BEND, IN 46617
St. Joseph County (574) 283-1234
CLARICE SHEAR MA
Counselor
415 E MADISON ST
SOUTH BEND, IN 46617
St. Joseph County (574) 533-1234
MRS. CARRIE ANNE BIANCHINI LMHC
Counselor
415 E MADISON ST
SOUTH BEND, IN 46617
St. Joseph County (574) 533-1234
KAREN TANG
Counselor
415 E MADISON ST
SOUTH BEND, IN 46617
St. Joseph County (574) 533-1234
CHRISTINA MARTIN
Counselor
415 E MADISON ST
SOUTH BEND, IN 46617
St. Joseph County (574) 533-1234
MONICA KUNZ LCSW
Social Worker (Clinical)
415 E MADISON ST
SOUTH BEND, IN 46617
St. Joseph County (574) 533-1234
MARIA GALLEGOS MA
Counselor
415 E MADISON ST
SOUTH BEND, IN 46617
St. Joseph County (574) 533-1234
SEANELL WILLIAMS MDIV
Counselor
415 E MADISON ST
SOUTH BEND, IN 46617
St. Joseph County (574) 533-1234

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 Tracey Moore's NPI number?

The NPI number for Tracey Moore is 1184105090. It was assigned to this individual provider in the NPPES registry on August 28, 2018.

Where is Tracey Moore located?

Tracey Moore practices at 415 E Madison St, South Bend, IN 46617. The listed phone number is (574) 533-1234.

What is Tracey Moore's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Tracey Moore was last updated on August 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.