THOMAS JORDAN MOORE IV
NPI 1265264030
Peer Specialist in Redwood City, CA

Active since August 19, 2024
200 EDMONDS RD, REDWOOD CITY, CA 94062(669) 245-3248 Get Directions Write a Review

NPPES record last updated: June 12, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 11, 2025, Sep 10, 2024, Aug 19, 2024 (3 updates tracked since 2024).

About Thomas Jordan Moore Iv NPPES

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

THOMAS JORDAN MOORE IV (NPI 1265264030) is an individual peer specialist in Redwood City, California, licensed in California (MPSS-FQMHKD) and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1265264030
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameTHOMAS JORDAN MOORE IV
Location Address200 EDMONDS RDRedwood City, CA 94062-3813
Mailing Address200 Edmonds RdRedwood City, CA 94062-3813 · (669) 245-3248
Sole ProprietorNo
Enumeration DateAugust 19, 2024
Last NPPES UpdateJune 12, 20263 updates tracked since enumeration
NPPES CertifiedJune 12, 2026
NPI 1265264030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License Licensed in CA · MPSS-FQMHKD
Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

200 EDMONDS RD, Redwood City, CA 94062

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.

Day Training/Habilitation Specialist
200 EDMONDS RD
REDWOOD CITY, CA 94062
Counselor (Mental Health)
200 EDMONDS RD
REDWOOD CITY, CA 94062
Registered Nurse (Psychiatric/Mental Health, Adult)
200 EDMONDS RD
REDWOOD CITY, CA 94062
Counselor (Mental Health)
200 EDMONDS RD
REDWOOD CITY, CA 94062
Counselor (Mental Health)
200 EDMONDS RD
REDWOOD CITY, CA 94062
Counselor (Mental Health)
200 EDMONDS RD
REDWOOD CITY, CA 94062
Peer Specialist
200 EDMONDS RD
REDWOOD CITY, CA 94062
Counselor (Mental Health)
200 EDMONDS RD
REDWOOD CITY, CA 94062

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 Thomas Moore's NPI number?

The NPI number for Thomas Moore is 1265264030. It was assigned to this individual provider in the NPPES registry on August 19, 2024.

Where is Thomas Moore located?

Thomas Moore practices at 200 Edmonds Rd, Redwood City, CA 94062. The listed phone number is (669) 245-3248.

What is Thomas Moore's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Thomas Moore was last updated on June 12, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.