LYNN MARIE FAGEN MOORE
NPI 1245519388
Counselor - Addiction (Substance Use Disorder) in Chisago City, MN

Active since August 08, 2011
11720 256TH ST, CHISAGO CITY, MN 55013(651) 257-4159 Get Directions Write a Review

NPPES record last updated: August 8, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lynn Marie Fagen Moore NPPES

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

LYNN MARIE FAGEN MOORE (NPI 1245519388) is an individual addiction (substance use disorder) provider in Chisago City, Minnesota, licensed in Minnesota (302220) and active in the NPI registry since August 2011.

NPPES Registry Identity

NPI1245519388
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameLYNN MARIE FAGEN MOORE
Location Address11720 256TH STChisago City, MN 55013-9752
Mailing Address11720 256th StChisago City, MN 55013-9752
Sole ProprietorNo
Enumeration DateAugust 8, 2011
NPI 1245519388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in MN · 302220
11720 256TH ST, Chisago City, MN 55013

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
11720 256TH ST
CHISAGO CITY, MN 55013

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 Lynn Fagen Moore's NPI number?

The NPI number for Lynn Fagen Moore is 1245519388. It was assigned to this individual provider in the NPPES registry on August 8, 2011.

Where is Lynn Fagen Moore located?

Lynn Fagen Moore practices at 11720 256th St, Chisago City, MN 55013. The listed phone number is (651) 257-4159.

What is Lynn Fagen Moore's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Lynn Fagen Moore was last updated on August 8, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.