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JERROLD MOORE LMHC
NPI 1649692054
Counselor - Mental Health in Plymouth, IN

Active since January 21, 2014
990 ILLINOIS ST, PLYMOUTH, IN 46563(574) 936-9646(574) 935-4773 Get Directions Write a Review

NPPES record last updated: January 21, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jerrold Moore Lmhc NPPES

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

JERROLD MOORE LMHC (NPI 1649692054) is an individual mental health provider in Plymouth, Indiana, licensed in Indiana (39001287A) and active in the NPI registry since January 2014.

NPPES Registry Identity

NPI1649692054
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJERROLD MOORECredential: LMHC
Location Address990 ILLINOIS STPlymouth, IN 46563-3622
Mailing Address850 N Harrison StWarsaw, IN 46580-3163 · (574) 267-7169 · Fax (574) 935-4773
Phone(574) 936-9646
Fax(574) 935-4773
Sole ProprietorNo
Enumeration DateJanuary 21, 2014
✔ NPI 1649692054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in IN · 39001287A
990 ILLINOIS ST, Plymouth, IN 46563
Open in Google Maps ↗

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.

MR. STEPHEN J BARBER LCSW, LCAC, CADAC II
Social Worker (Clinical)
990 ILLINOIS ST
PLYMOUTH, IN 46563
Marshall County (574) 936-9646
LINDIE M LEARY MS
Counselor (Mental Health)
990 ILLINOIS ST
PLYMOUTH, IN 46563
Marshall County (574) 936-9646
JENNIFER CABANNIS MS
Counselor (Mental Health)
990 ILLINOIS ST
PLYMOUTH, IN 46563
Marshall County (574) 936-9646
DONN YODER MSW, LCSW
Social Worker (Clinical)
990 ILLINOIS ST
PLYMOUTH, IN 46563
Marshall County (574) 936-9646
ELIZABETH CRATON MSW
Counselor (Mental Health)
990 ILLINOIS ST
PLYMOUTH, IN 46563
Marshall County (574) 936-9646
MR. DONALD DAVIS I LAC, CADAC II
Counselor (Addiction (Substance Use Disorder))
990 ILLINOIS ST
PLYMOUTH, IN 46563
Marshall County (574) 936-9646
HOLLY HIRSCHY-HURD MSW
Social Worker
990 ILLINOIS ST
PLYMOUTH, IN 46563
Marshall County (574) 936-9646
MS. ALEXANDRIA RANS MA
Counselor (Mental Health)
990 ILLINOIS ST
PLYMOUTH, IN 46563
Marshall County (574) 936-9646

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 Jerrold Moore's NPI number?

The NPI number for Jerrold Moore is 1649692054. It was assigned to this individual provider in the NPPES registry on January 21, 2014.

Where is Jerrold Moore located?

Jerrold Moore practices at 990 Illinois St, Plymouth, IN 46563. The listed phone number is (574) 936-9646.

What is Jerrold 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 Jerrold Moore was last updated on January 21, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.