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DUSTIN BURSON MOORE
NPI 1518672120
Counselor - Mental Health in Twin Falls, ID

Active since January 18, 2023
630 ADDISON AVE W STE 1000, TWIN FALLS, ID 83301(208) 736-5048 Get Directions Write a Review

NPPES record last updated: July 19, 2023. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jul 19, 2023, Jan 18, 2023 (2 updates tracked since 2023).

About Dustin Burson Moore NPPES

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

DUSTIN BURSON MOORE (NPI 1518672120) is an individual mental health provider in Twin Falls, Idaho, licensed in Idaho (LPC-9658) and active in the NPI registry since January 2023.

NPPES Registry Identity

NPI1518672120
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameDUSTIN BURSON MOORE
Location Address630 ADDISON AVE W STE 1000Twin Falls, ID 83301-5853
Mailing Address776 N Pointe DrTwin Falls, ID 83301-3285 · (360) 751-4313
Phone(208) 736-5048
Sole ProprietorNo
Enumeration DateJanuary 18, 2023
Last NPPES UpdateJuly 19, 20232 updates tracked since enumeration
NPPES CertifiedJuly 19, 2023
✔ NPI 1518672120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in ID · LPC-9658
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
630 ADDISON AVE W STE 1000, Twin Falls, ID 83301
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Other Providers at the Same Location NPPES 15

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

STEPHANIE LYNN CALLEN LSW
Counselor (Addiction (Substance Use Disorder))
630 ADDISON AVE W STE 1000
TWIN FALLS, ID 83301
Twin Falls County (208) 736-5048
JESSICA ROWE LSW
Social Worker
630 ADDISON AVE W STE 1000
TWIN FALLS, ID 83301
Twin Falls County (208) 736-5048
KIM L GRATA CADC
Counselor (Addiction (Substance Use Disorder))
630 ADDISON AVE W STE 1000
TWIN FALLS, ID 83301
Twin Falls County (208) 736-5048
PAUL DAVID GUYMON LMSW
Counselor (Addiction (Substance Use Disorder))
630 ADDISON AVE W STE 1000
TWIN FALLS, ID 83301
Twin Falls County (208) 736-5048
KRISTINA BUNN LSW
Social Worker
630 ADDISON AVE W STE 1000
TWIN FALLS, ID 83301
Twin Falls County (208) 736-5048
JEREMY AJETI BS
Case Management
630 ADDISON AVE W STE 1000
TWIN FALLS, ID 83301
Twin Falls County (208) 736-5048
TWIN FALLS COUNTY
Community/Behavioral Health
630 ADDISON AVE W STE 1000
TWIN FALLS, ID 83301
Twin Falls County (208) 736-5048
MELISSA ANDRUSHKO
Counselor (Addiction (Substance Use Disorder))
630 ADDISON AVE W STE 1000
TWIN FALLS, ID 83301
Twin Falls County (208) 736-5048

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 Dustin Moore's NPI number?

The NPI number for Dustin Moore is 1518672120. It was assigned to this individual provider in the NPPES registry on January 18, 2023.

Where is Dustin Moore located?

Dustin Moore practices at 630 Addison Ave W Ste 1000, Twin Falls, ID 83301. The listed phone number is (208) 736-5048.

What is Dustin 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 Dustin Moore was last updated on July 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.