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MR. STEPHEN MOORE LPC
NPI 1306223169
Community/Behavioral Health in Middletown, CT

Active since April 30, 2015
100 ROSCOMMON DR, MIDDLETOWN, CT 06457(860) 343-5500(860) 343-5509 Get Directions Write a Review

NPPES record last updated: April 30, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Stephen Moore Lpc NPPES

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

MR. STEPHEN MOORE LPC (NPI 1306223169) is an individual community/behavioral health provider in Middletown, Connecticut, licensed in Connecticut (1070) and active in the NPI registry since April 2015.

NPPES Registry Identity

NPI1306223169
Entity TypeIndividualMale
Primary Taxonomy251S00000X
Provider Legal NameMR. STEPHEN MOORECredential: LPC
Location Address100 ROSCOMMON DRMiddletown, CT 06457-1591
Mailing Address100 Roscommon DrMiddletown, CT 06457-1591 · (860) 343-5500 · Fax (860) 343-5509
Phone(860) 343-5500
Fax(860) 343-5509
Sole ProprietorYes
Enumeration DateApril 30, 2015
✔ NPI 1306223169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in CT · 1070
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
100 ROSCOMMON DR, Middletown, CT 06457
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Other Identifiers 1

Medicare PIN25

Other Providers at the Same Location NPPES 3

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

THE CONNECTION, INC.
Clinic/Center (Adult Mental Health)
100 ROSCOMMON DR
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 343-5500
JESSICA ANNE RICHARDS LPC
Counselor (Professional)
100 ROSCOMMON DR, SUITE 203
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 343-5500
JOSEPH SISK MA
Counselor (Professional)
100 ROSCOMMON DR
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 344-0682

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 Stephen Moore's NPI number?

The NPI number for Stephen Moore is 1306223169. It was assigned to this individual provider in the NPPES registry on April 30, 2015.

Where is Stephen Moore located?

Stephen Moore practices at 100 Roscommon Dr, Middletown, CT 06457. The listed phone number is (860) 343-5500.

What is Stephen Moore's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Stephen Moore was last updated on April 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.