MR. MARK MOORE MA
NPI 1548679384
Counselor - Mental Health in Waconia, MN

Active since August 06, 2014
540 E 1ST ST, WACONIA, MN 55387(952) 442-4437(952) 442-3084 Get Directions Write a Review

NPPES record last updated: August 9, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Mark Moore Ma NPPES

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

MR. MARK MOORE MA (NPI 1548679384) is an individual mental health provider in Waconia, Minnesota and active in the NPI registry since August 2014. He maintains a secondary practice location in Edina.

NPPES Registry Identity

NPI1548679384
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. MARK MOORECredential: MA
Location Address540 E 1ST STWaconia, MN 55387
Mailing Address9533 Roosevelt DrChanhassen, MN 55317-4612 · (952) 250-0602
Fax(952) 442-3084
Sole ProprietorNo
Enumeration DateAugust 6, 2014
Last NPPES UpdateAugust 9, 2018
NPI 1548679384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
540 E 1ST ST, Waconia, MN 55387

Secondary Practice Location 1

Location 14570 W 77th St Ste 315Edina, MN 55435-5035 · Phone (952) 913-5403

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
540 E 1ST ST
WACONIA, MN 55387
Psychologist
540 E 1ST ST
WACONIA, MN 55387
Social Worker (Clinical)
540 E 1ST ST
WACONIA, MN 55387
Counselor (Mental Health)
540 E 1ST ST
WACONIA, MN 55387
Social Worker (Clinical)
540 E 1ST ST
WACONIA, MN 55387
Social Worker (Clinical)
540 E 1ST ST
WACONIA, MN 55387
Marriage & Family Therapist
540 E 1ST ST
WACONIA, MN 55387
Psychologist
540 E 1ST ST
WACONIA, MN 55387

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 Mark Moore's NPI number?

The NPI number for Mark Moore is 1548679384. It was assigned to this individual provider in the NPPES registry on August 6, 2014.

Where is Mark Moore located?

Mark Moore practices at 540 E 1st St, Waconia, MN 55387. The listed phone number is (952) 442-4437.

What is Mark 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 Mark Moore was last updated on August 9, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.