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EVAN MOORE
NPI 1407734668
Counselor - Mental Health in Peoria, IL

Active since August 25, 2025
6615 N BIG HOLLOW RD, PEORIA, IL 61615(309) 692-6622(309) 692-6952 Get Directions Write a Review

NPPES record last updated: August 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Evan Moore NPPES

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

EVAN MOORE (NPI 1407734668) is an individual mental health provider in Peoria, Illinois and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1407734668
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameEVAN MOORE
Location Address6615 N BIG HOLLOW RDPeoria, IL 61615-2450
Mailing Address6615 N Big Hollow RdPeoria, IL 61615-2450 · (309) 692-6622 · Fax (309) 692-6952
Phone(309) 692-6622
Fax(309) 692-6952
Sole ProprietorNo
Enumeration DateAugust 25, 2025
NPPES CertifiedAugust 25, 2025
✔ NPI 1407734668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
6615 N BIG HOLLOW RD, Peoria, IL 61615
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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.

KEVIN SISCOE LCPC
Counselor (Professional)
6615 N BIG HOLLOW RD
PEORIA, IL 61615
Peoria County (309) 692-6622
MRS. MICHELLE SUE BAKER LCPC CADC
Counselor
6615 N BIG HOLLOW RD
PEORIA, IL 61615
Peoria County (309) 692-6622
STEPHANIE SEIDL MA
Counselor (Mental Health)
6615 N BIG HOLLOW RD
PEORIA, IL 61615
Peoria County (309) 692-6622
MICHELLE QUINN
Counselor (Mental Health)
6615 N BIG HOLLOW RD
PEORIA, IL 61615
Peoria County (309) 692-6622
MS. DONNA SUE WASSON M.A., L.C.P.C., NCC
Counselor (Professional)
6615 N BIG HOLLOW RD
PEORIA, IL 61615
Peoria County (309) 692-6622
CLAIRE LEECH
Counselor (Mental Health)
6615 N BIG HOLLOW RD
PEORIA, IL 61615
Peoria County (309) 692-6622
TIFFANY JORDAN LCPC
Counselor
6615 N BIG HOLLOW RD
PEORIA, IL 61615
Peoria County (309) 692-6622
STEVEN ALLEN HAMON PHD
Psychologist
6615 N BIG HOLLOW RD
PEORIA, IL 61615
Peoria County (309) 692-6622

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 Evan Moore's NPI number?

The NPI number for Evan Moore is 1407734668. It was assigned to this individual provider in the NPPES registry on August 25, 2025.

Where is Evan Moore located?

Evan Moore practices at 6615 N Big Hollow Rd, Peoria, IL 61615. The listed phone number is (309) 692-6622.

What is Evan Moore's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Evan Moore was last updated on August 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.