JENNIFER NICOLE MOORE
NPI 1891366100
Marriage & Family Therapist in Fresno, CA

Q: What is Jennifer Moore's NPI number?

The NPI number for Jennifer Moore is 1891366100. It was assigned to this individual provider in the NPPES registry on July 7, 2021.

Q: What is Jennifer Moore's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Moore was last updated on July 7, 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 July 07, 2021

2440 TULARE ST STE 200, FRESNO, CA 93721(559) 443-4800 Get Directions Write a Review

NPPES record last updated: July 7, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jennifer Nicole Moore NPPES

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

JENNIFER NICOLE MOORE (NPI 1891366100) is an individual marriage & family therapist in Fresno, California, licensed in California (125335) and active in the NPI registry since July 2021. She maintains 6 additional practice locations.

NPPES Registry Identity

NPI1891366100

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameJENNIFER NICOLE MOORE

Location Address2440 TULARE ST STE 200Fresno, CA 93721-2281

Mailing Address2440 Tulare St Ste 200Fresno, CA 93721-2281 · (559) 443-4800

Phone(559) 443-4800

Sole ProprietorYes

Enumeration DateJuly 7, 2021

NPPES CertifiedJuly 7, 2021

✔ NPI 1891366100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · 125335

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

2440 TULARE ST STE 200, Fresno, CA 93721

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Secondary Practice Locations 6

Location 14939 E Yale AveFresno, CA 93727-1523 · Phone (559) 443-4800

Location 2121 Belmont AveMendota, CA 93640-8232 · Phone (559) 443-4800

Location 32280 N Valentine AveFresno, CA 93722-5553 · Phone (559) 443-4800

Location 42440 Tulare St Ste 200Fresno, CA 93721-2281 · Phone (559) 443-4800

Location 52020 High St Ste ESelma, CA 93662-3518 · Phone (559) 443-4800

Location 62650 W Shaw Ln # 104Fresno, CA 93711-2774 · Phone (559) 443-4800

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.

NATASHA MARIE PENN

Case Manager/Care Coordinator