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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NICOLE SUSAN MOORE MFT
NPI 1235795618
Marriage & Family Therapist in Los Angeles, CA

Active since May 11, 2019
11661 SAN VICENTE BLVD STE 606, LOS ANGELES, CA 90049(310) 957-9191 Get Directions Write a Review

NPPES record last updated: October 8, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Oct 8, 2026, May 11, 2019 (2 updates tracked since 2019).

About Nicole Susan Moore Mft NPPES

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

NICOLE SUSAN MOORE MFT (NPI 1235795618) is an individual marriage & family therapist in Los Angeles, California, licensed in California (105134) and active in the NPI registry since May 2019.

NPPES Registry Identity

NPI1235795618
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameNICOLE SUSAN MOORECredential: MFT
Location Address11661 SAN VICENTE BLVD STE 606Los Angeles, CA 90049-5114
Mailing Address11661 San Vicente Blvd Ste 606Los Angeles, CA 90049-5114 · (310) 957-9191
Phone(310) 957-9191
Sole ProprietorYes
Enumeration DateMay 11, 2019
Last NPPES UpdateOctober 8, 20262 updates tracked since enumeration
NPPES CertifiedOctober 8, 2026
✔ NPI 1235795618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 105134
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
11661 SAN VICENTE BLVD STE 606, Los Angeles, CA 90049
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Other Providers at the Same Location NPPES 4

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

PERSONAL DEVELOPMENT INSTITUTE
Counselor (Mental Health)
11661 SAN VICENTE BLVD STE 606
LOS ANGELES, CA 90049
Los Angeles County (310) 957-9938
THE CENTER METHOD GROUP LLC
Counselor (Mental Health)
11661 SAN VICENTE BLVD STE 606
LOS ANGELES, CA 90049
Los Angeles County (310) 957-9191
MR. ADAM J BOARDMAN MA, LMFT
Marriage & Family Therapist
11661 SAN VICENTE BLVD STE 606
LOS ANGELES, CA 90049
Los Angeles County (424) 279-4779
MR. FRANK SALVATORE SPOSATO
Social Worker (Clinical)
11661 SAN VICENTE BLVD STE 606
LOS ANGELES, CA 90049
Los Angeles County (323) 570-2889

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 Nicole Moore's NPI number?

The NPI number for Nicole Moore is 1235795618. It was assigned to this individual provider in the NPPES registry on May 11, 2019.

Where is Nicole Moore located?

Nicole Moore practices at 11661 San Vicente Blvd Ste 606, Los Angeles, CA 90049. The listed phone number is (310) 957-9191.

What is Nicole Moore's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

When was this NPI record last updated?

The NPPES record for Nicole Moore was last updated on October 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.