JEANNINE MOORE
NPI 1710254693
Marriage & Family Therapist in Long Beach, CA

Active since November 21, 2011
1775 CHESTNUT AVE, LONG BEACH, CA 90813(562) 599-8444 Get Directions Write a Review

NPPES record last updated: November 11, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 11, 2024, May 15, 2018, Apr 19, 2017 and 1 more (4 updates tracked since 2016).

About Jeannine Moore NPPES

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

JEANNINE MOORE (NPI 1710254693) is an individual marriage & family therapist in Long Beach, California, licensed in California (115585) and active in the NPI registry since November 2011.

NPPES Registry Identity

NPI1710254693
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameJEANNINE MOORE
Location Address1775 CHESTNUT AVELong Beach, CA 90813
Mailing Address1775 Chestnut AveLong Beach, CA 90813-1674 · (562) 599-8444
Sole ProprietorNo
Enumeration DateNovember 21, 2011
Last NPPES UpdateNovember 11, 20244 updates tracked since enumeration
NPPES CertifiedNovember 11, 2024
NPI 1710254693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License Licensed in CA · 115585
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
1775 CHESTNUT AVE, Long Beach, CA 90813

Other Names 1

Former Name (1)Jeannine Soto

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 (Addiction (Substance Use Disorder))
1775 CHESTNUT AVE
LONG BEACH, CA 90813
Licensed Practical Nurse
1775 CHESTNUT AVE
LONG BEACH, CA 90813
Counselor (Addiction (Substance Use Disorder))
1775 CHESTNUT AVE
LONG BEACH, CA 90813
Counselor (Addiction (Substance Use Disorder))
1775 CHESTNUT AVE
LONG BEACH, CA 90813
Counselor (Addiction (Substance Use Disorder))
1775 CHESTNUT AVE
LONG BEACH, CA 90813
Counselor (Addiction (Substance Use Disorder))
1775 CHESTNUT AVE
LONG BEACH, CA 90813
Licensed Psychiatric Technician
1775 CHESTNUT AVE
LONG BEACH, CA 90813
Student in an Organized Health Care Education/Training Program
1775 CHESTNUT AVE
LONG BEACH, CA 90813

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 Jeannine Moore's NPI number?

The NPI number for Jeannine Moore is 1710254693. It was assigned to this individual provider in the NPPES registry on November 21, 2011. The provider is also known as Jeannine Soto.

Where is Jeannine Moore located?

Jeannine Moore practices at 1775 Chestnut Ave, Long Beach, CA 90813. The listed phone number is (562) 599-8444.

What is Jeannine 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 Jeannine Moore was last updated on November 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.