SAMUEL MOORE
NPI 1427508639
Counselor - Mental Health in Vancouver, WA

Active since October 12, 2016
1014 MAIN STREET, VANCOUVER, WA 98660(360) 695-1014(360) 750-1374 Get Directions Write a Review

NPPES record last updated: May 6, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 6, 2019, Oct 12, 2016 (2 updates tracked since 2016).

About Samuel Moore NPPES

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

SAMUEL MOORE (NPI 1427508639) is an individual mental health provider in Vancouver, Washington and active in the NPI registry since October 2016.

NPPES Registry Identity

NPI1427508639
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameSAMUEL MOORE
Location Address1014 MAIN STREETVancouver, WA 98660
Mailing Address1014 Main StreetVancouver, WA 98660 · (360) 695-1014 · Fax (360) 750-1374
Fax(360) 750-1374
Sole ProprietorNo
Enumeration DateOctober 12, 2016
Last NPPES UpdateMay 6, 20192 updates tracked since enumeration
NPI 1427508639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1014 MAIN STREET, Vancouver, WA 98660

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.

Marriage & Family Therapist
1014 MAIN STREET
VANCOUVER, WA 98660
Social Worker (Clinical)
1014 MAIN STREET
VANCOUVER, WA 98660
Counselor (Mental Health)
1014 MAIN STREET
VANCOUVER, WA 98660
Counselor (Mental Health)
1014 MAIN STREET
VANCOUVER, WA 98660
Counselor (Mental Health)
1014 MAIN STREET
VANCOUVER, WA 98660
Marriage & Family Therapist
1014 MAIN STREET
VANCOUVER, WA 98660
Student in an Organized Health Care Education/Training Program
1014 MAIN STREET
VANCOUVER, WA 98660
Counselor (Mental Health)
1014 MAIN STREET
VANCOUVER, WA 98660

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 Samuel Moore's NPI number?

The NPI number for Samuel Moore is 1427508639. It was assigned to this individual provider in the NPPES registry on October 12, 2016.

Where is Samuel Moore located?

Samuel Moore practices at 1014 Main Street, Vancouver, WA 98660. The listed phone number is (360) 695-1014.

What is Samuel 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 Samuel Moore was last updated on May 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.