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

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

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.

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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

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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)