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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

STACEY MOORE LPC
NPI 1790683647
Counselor in Saint Louis, MO

Active since October 29, 2026
662 N NEW BALLAS RD, SAINT LOUIS, MO 63141(573) 560-2456 Get Directions Write a Review

NPPES record added: October 29, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Stacey Moore Lpc NPPES

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

STACEY MOORE LPC (NPI 1790683647) is an individual counselor in Saint Louis, Missouri, licensed in Missouri (2017042391) and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1790683647
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameSTACEY MOORECredential: LPC
Location Address662 N NEW BALLAS RDSaint Louis, MO 63141-6737
Mailing Address662 N New Ballas RdSaint Louis, MO 63141-6737 · (573) 560-2456
Phone(573) 560-2456
Sole ProprietorYes
Enumeration DateOctober 29, 2026
NPPES CertifiedOctober 29, 2026
✔ NPI 1790683647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in MO · 2017042391
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
662 N NEW BALLAS RD, Saint Louis, MO 63141
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EVONNE WEINHAUS LCSW
Counselor (Mental Health)
662 N NEW BALLAS RD
CREVE COEUR, MO 63141
St. Louis County (314) 499-9144
SOUND MIND CAFE
Community/Behavioral Health
662 N NEW BALLAS RD
CREVE COEUR, MO 63141
St. Louis County (314) 499-9144
DEBORA PULLIN LPC
Counselor (Professional)
662 N NEW BALLAS RD
CREVE COEUR, MO 63141
St. Louis County (314) 499-9144
JENNIFER S. LYONS
Counselor
662 N NEW BALLAS RD
CREVE COEUR, MO 63141
St. Louis County (314) 499-9144
SUSAN BERG LPC
Counselor (Mental Health)
662 N NEW BALLAS RD
CREVE COEUR, MO 63141
St. Louis County (314) 503-6966
SOUND MIND CAFE
Counselor (Professional)
662 N NEW BALLAS RD
CREVE COEUR, MO 63141
St. Louis County (314) 503-6966

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 Stacey Moore's NPI number?

The NPI number for Stacey Moore is 1790683647. It was assigned to this individual provider in the NPPES registry on October 29, 2026.

Where is Stacey Moore located?

Stacey Moore practices at 662 N New Ballas Rd, Saint Louis, MO 63141. The listed phone number is (573) 560-2456.

What is Stacey Moore's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Stacey Moore was last updated on October 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days 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.