SAMUEL EVAN MOORE M.S.
NPI 1447600085
Marriage & Family Therapist in Yucaipa, CA

Active since June 14, 2016
10776 FREMONT ST, YUCAIPA, CA 92399(909) 797-0114(909) 790-2148 Get Directions Write a Review

NPPES record last updated: August 4, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 4, 2021, Jun 14, 2016 (2 updates tracked since 2016).

About Samuel Evan Moore M.s. NPPES

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

SAMUEL EVAN MOORE M.S. (NPI 1447600085) is an individual marriage & family therapist in Yucaipa, California, licensed in California (LMFT119605) and active in the NPI registry since June 2016.

NPPES Registry Identity

NPI1447600085
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameSAMUEL EVAN MOORECredential: M.S.
Location Address10776 FREMONT STYucaipa, CA 92399-9630
Mailing Address10776 Fremont StYucaipa, CA 92399-9630 · (909) 797-0114 · Fax (909) 790-2148
Fax(909) 790-2148
Sole ProprietorNo
Enumeration DateJune 14, 2016
Last NPPES UpdateAugust 4, 20212 updates tracked since enumeration
NPPES CertifiedAugust 4, 2021
NPI 1447600085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Licenses Licensed in CA · LMFT119605 Licensed in CA · IMF91033
Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

10776 FREMONT ST, Yucaipa, CA 92399

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.

Counselor (Mental Health)
10776 FREMONT ST
YUCAIPA, CA 92399
Marriage & Family Therapist
10776 FREMONT ST
YUCAIPA, CA 92399
Counselor
10776 FREMONT ST
YUCAIPA, CA 92399
Counselor (Mental Health)
10776 FREMONT ST
YUCAIPA, CA 92399
Marriage & Family Therapist
10776 FREMONT ST
YUCAIPA, CA 92399
Case Manager/Care Coordinator
10776 FREMONT ST
YUCAIPA, CA 92399
Rehabilitation Practitioner
10776 FREMONT ST
YUCAIPA, CA 92399
Social Worker
10776 FREMONT ST
YUCAIPA, CA 92399

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 1447600085. It was assigned to this individual provider in the NPPES registry on June 14, 2016.

Where is Samuel Moore located?

Samuel Moore practices at 10776 Fremont St, Yucaipa, CA 92399. The listed phone number is (909) 797-0114.

What is Samuel Moore's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

When was this NPI record last updated?

The NPPES record for Samuel Moore was last updated on August 4, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.