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MR. TIM MOODY LPC NBCC
NPI 1740630516
Counselor - Professional in Springfield, IL

Active since June 13, 2016
840 KIRKWOOD DR APT 8, SPRINGFIELD, IL 62712(217) 520-9877 Get Directions Write a Review

NPPES record last updated: June 13, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Tim Moody Lpc Nbcc NPPES

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

MR. TIM MOODY LPC NBCC (NPI 1740630516) is an individual professional provider in Springfield, Illinois, licensed in Illinois (178.011258) and active in the NPI registry since June 2016.

NPPES Registry Identity

NPI1740630516
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. TIM MOODYCredential: LPC NBCC
Location Address840 KIRKWOOD DR APT 8Springfield, IL 62712-6853
Mailing Address840 Kirkwood Dr Apt 8Springfield, IL 62712-6853 · (217) 520-9877
Phone(217) 520-9877
Sole ProprietorYes
Enumeration DateJune 13, 2016
✔ NPI 1740630516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in IL · 178.011258
840 KIRKWOOD DR APT 8, Springfield, IL 62712
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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 Tim Moody's NPI number?

The NPI number for Tim Moody is 1740630516. It was assigned to this individual provider in the NPPES registry on June 13, 2016.

Where is Tim Moody located?

Tim Moody practices at 840 Kirkwood Dr Apt 8, Springfield, IL 62712. The listed phone number is (217) 520-9877.

What is Tim Moody's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Tim Moody was last updated on June 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.