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BRANDY MOORE
NPI 1427667161
Counselor in Carbondale, IL

Active since July 29, 2020
200 N EMERALD LN, CARBONDALE, IL 62901(618) 457-6703 Get Directions Write a Review

NPPES record last updated: July 29, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Brandy Moore NPPES

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

BRANDY MOORE (NPI 1427667161) is an individual counselor in Carbondale, Illinois and active in the NPI registry since July 2020.

NPPES Registry Identity

NPI1427667161
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameBRANDY MOORE
Location Address200 N EMERALD LNCarbondale, IL 62901-2159
Mailing Address902 W Main StWest Frankfort, IL 62896-2210 · (618) 937-6483
Phone(618) 457-6703
Sole ProprietorNo
Enumeration DateJuly 29, 2020
NPPES CertifiedJuly 29, 2020
✔ NPI 1427667161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

200 N EMERALD LN, Carbondale, IL 62901
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Other Identifiers 1

MedicaidIL2970IL

Other Providers at the Same Location NPPES 16

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

REHAB INNOVATIONS LLC
Clinic/Center (Rehabilitation)
200 N EMERALD LN, SUITE 1A
CARBONDALE, IL 62901
Jackson County (618) 549-9449
MR. ROBERT GOUGH LANDES P.T.
Physical Therapist
200 N EMERALD LN, SUITE 1A
CARBONDALE, IL 62901
Jackson County (618) 549-9449
CLAIRE MICHELE SHELTON PTA
Physical Therapy Assistant
200 N EMERALD LN, SUITE 1A
CARBONDALE, IL 62901
Jackson County (618) 549-9449
MR. THOMAS STEVEN PORTNER PT
Physical Therapist
200 N EMERALD LN, 1A
CARBONDALE, IL 62901
Jackson County (618) 549-9449
CHELSEA OSCHS
Counselor
200 N EMERALD LN
CARBONDALE, IL 62901
Jackson County (618) 579-5370
ZACHARY SCHUMACHER
Counselor
200 N EMERALD LN
CARBONDALE, IL 62901
Jackson County (618) 456-6703
ELIZABETH FINTA
Counselor
200 N EMERALD LN
CARBONDALE, IL 62901
Jackson County (618) 305-4358
CARRIE SHALOSKY
Counselor
200 N EMERALD LN
CARBONDALE, IL 62901
Jackson County (618) 440-0418

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 Brandy Moore's NPI number?

The NPI number for Brandy Moore is 1427667161. It was assigned to this individual provider in the NPPES registry on July 29, 2020.

Where is Brandy Moore located?

Brandy Moore practices at 200 N Emerald Ln, Carbondale, IL 62901. The listed phone number is (618) 457-6703.

What is Brandy Moore's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Brandy Moore was last updated on July 29, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.