JASON SHANE MOORE LCDC
NPI 1811839111
Counselor - Addiction (Substance Use Disorder) in Longview, TX

Q: What is Jason Moore's NPI number?

The NPI number for Jason Moore is 1811839111. It was assigned to this individual provider in the NPPES registry on April 7, 2026.

Q: What is Jason Moore's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Jason Moore was last updated on April 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since April 07, 2026

3110 H G MOSLEY PKWY STE 104, LONGVIEW, TX 75605(903) 758-2471(903) 234-1639 Get Directions Write a Review

NPPES record last updated: April 7, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jason Shane Moore Lcdc NPPES

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

JASON SHANE MOORE LCDC (NPI 1811839111) is an individual addiction (substance use disorder) provider in Longview, Texas, licensed in Texas (17751) and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1811839111

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameJASON SHANE MOORECredential: LCDC

Location Address3110 H G MOSLEY PKWY STE 104Longview, TX 75605-2941

Mailing Address107 Woodbine PlLongview, TX 75601-2912 · (903) 758-2471 · Fax (903) 234-1639

Phone(903) 758-2471

Fax(903) 234-1639

Sole ProprietorYes

Enumeration DateApril 7, 2026

NPPES CertifiedApril 7, 2026

✔ NPI 1811839111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in TX · 17751

3110 H G MOSLEY PKWY STE 104, Longview, TX 75605

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Other Providers at the Same Location NPPES

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

SABINE VALLEY REGIONAL MHMR CENTER

Clinic/Center (Mental Health (Including Community Mental Health Center))

3110 H G MOSLEY PKWY STE 104
LONGVIEW, TX 75605

Gregg County (903) 234-9200

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 Jason Moore's NPI number?

The NPI number for Jason Moore is 1811839111. It was assigned to this individual provider in the NPPES registry on April 7, 2026.

Where is Jason Moore located?

Jason Moore practices at 3110 H G Mosley Pkwy Ste 104, Longview, TX 75605. The listed phone number is (903) 758-2471.

What is Jason Moore's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Jason Moore was last updated on April 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.