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MARK MOORE
NPI 1710527130
Peer Specialist in Sheridan, WY

Active since January 14, 2020
1221 W 5TH ST, SHERIDAN, WY 82801(307) 674-4405 Get Directions Write a Review

NPPES record last updated: February 14, 2023. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Feb 14, 2023, Nov 4, 2021, Jan 14, 2020 (3 updates tracked since 2020).

About Mark Moore NPPES

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

MARK MOORE (NPI 1710527130) is an individual peer specialist in Sheridan, Wyoming, licensed in Wyoming (CPS-014) and active in the NPI registry since January 2020. He maintains a secondary practice location in Sheridan.

NPPES Registry Identity

NPI1710527130
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameMARK MOORE
Location Address1221 W 5TH STSheridan, WY 82801-2701
Mailing Address1221 W 5th StSheridan, WY 82801-2701 · (307) 674-4405
Phone(307) 674-4405
Sole ProprietorNo
Enumeration DateJanuary 14, 2020
Last NPPES UpdateFebruary 14, 20233 updates tracked since enumeration
NPPES CertifiedFebruary 14, 2023
✔ NPI 1710527130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in WY · CPS-014
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
1221 W 5TH ST, Sheridan, WY 82801
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Secondary Practice Location 1

Location 11221 W 5th StSheridan, WY 82801-2701 · Phone (307) 674-4405

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.

VOLUNTEERS OF AMERICA NORTHERN ROCKIES
Clinic/Center (Rehabilitation, Substance Use Disorder)
1221 W 5TH ST
SHERIDAN, WY 82801
Sheridan County (307) 674-4405
PAMELA KATE KENNEDY MSW, LCSW
Social Worker (Clinical)
1221 W 5TH ST
SHERIDAN, WY 82801
Sheridan County (307) 674-4405
BRENT WEAVER
Peer Specialist
1221 W 5TH ST
SHERIDAN, WY 82801
Sheridan County (307) 674-4405
MR. NORMAN WILLIAM FISH JR. L.P.C.
Counselor (Professional)
1221 W 5TH ST
SHERIDAN, WY 82801
Sheridan County (307) 674-4405
AMBER ANELLI
Peer Specialist
1221 W 5TH ST
SHERIDAN, WY 82801
Sheridan County (307) 674-4405
JUDITH WALLACE MAC, LAT
Counselor (Professional)
1221 W 5TH ST
SHERIDAN, WY 82801
Sheridan County (307) 674-4405
CASSIDY HOPE
Community Health Worker
1221 W 5TH ST
SHERIDAN, WY 82801
Sheridan County (307) 674-4405
DR. CAROL A. PASTORE-WATKINS PHD
Psychologist
1221 W 5TH ST
SHERIDAN, WY 82801
Sheridan County (307) 674-4405

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 1710527130. It was assigned to this individual provider in the NPPES registry on January 14, 2020.

Where is Mark Moore located?

Mark Moore practices at 1221 W 5th St, Sheridan, WY 82801. The listed phone number is (307) 674-4405.

What is Mark Moore's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Mark Moore was last updated on February 14, 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.