TIMOTHY MOORE
NPI 1821667304
Counselor in Bend, OR

Q: What is Timothy Moore's NPI number?

The NPI number for Timothy Moore is 1821667304. It was assigned to this organization in the NPPES registry on June 21, 2021.

Q: What is Timothy Moore's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Timothy Moore was last updated on June 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since June 21, 2021

384 SW UPPER TERRACE DR STE 212, BEND, OR 97702(541) 306-0474 Get Directions Write a Review

NPPES record last updated: June 21, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Timothy Moore NPPES

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

TIMOTHY MOORE (NPI 1821667304) is a healthcare organization registered as a counselor in Bend, Oregon and active in the NPI registry since June 2021. The organization lists Timothy Moore, Owner, as its authorized official.

NPPES Registry Identity

NPI1821667304

Entity TypeOrganization

Primary Taxonomy101Y00000X

Legal Business NameTIMOTHY MOORE

Location Address384 SW UPPER TERRACE DR STE 212Bend, OR 97702-3514

Mailing Address250 Nw St Helens PlBend, OR 97703-2661

Phone(541) 306-0474

Organization SubpartNo

Authorized OfficialTimothy MooreOwner · (541) 306-0474

Enumeration DateJune 21, 2021

NPPES CertifiedJune 21, 2021

✔ NPI 1821667304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

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.

384 SW UPPER TERRACE DR STE 212, Bend, OR 97702

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

MR. TIMOTHY M MOORE M.A. L.P.C.

Counselor (Mental Health)

384 SW UPPER TERRACE DR STE 212
BEND, OR 97702

Deschutes County (541) 280-5210

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 Timothy Moore's NPI number?

The NPI number for Timothy Moore is 1821667304. It was assigned to this organization in the NPPES registry on June 21, 2021.

Where is Timothy Moore located?

Timothy Moore is located at 384 SW Upper Terrace Dr Ste 212, Bend, OR 97702. The listed phone number is (541) 306-0474.

What is Timothy 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 Timothy Moore was last updated on June 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.