JACLYN MOORE LCPC
NPI 1992186506
Counselor - Mental Health in Boise, ID

Q: What is Jaclyn Moore's NPI number?

The NPI number for Jaclyn Moore is 1992186506. It was assigned to this individual provider in the NPPES registry on June 10, 2015.

Q: What is Jaclyn Moore's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Jaclyn Moore was last updated on August 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 10, 2015

2577 S FIVE MILE RD STE 101, BOISE, ID 83709(208) 639-1897(208) 639-9957 Get Directions Write a Review

NPPES record last updated: August 16, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jaclyn Moore Lcpc NPPES

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

JACLYN MOORE LCPC (NPI 1992186506) is an individual mental health provider in Boise, Idaho, licensed in Idaho (6879) and active in the NPI registry since June 2015.

NPPES Registry Identity

NPI1992186506

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameJACLYN MOORECredential: LCPC

Location Address2577 S FIVE MILE RD STE 101Boise, ID 83709

Mailing Address2577 S Five Mile Rd Ste 101Boise, ID 83709-2325 · (208) 639-1897 · Fax (208) 639-9957

Phone(208) 639-1897

Fax(208) 639-9957

Sole ProprietorYes

Enumeration DateJune 10, 2015

Last NPPES UpdateAugust 16, 2018

✔ NPI 1992186506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in ID · 6879

2577 S FIVE MILE RD STE 101, Boise, ID 83709

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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.

LAURA GRAY MS, LPC

Counselor (Mental Health)

2577 S FIVE MILE RD STE 101
BOISE, ID 83709

Ada County (208) 639-1897

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 Jaclyn Moore's NPI number?

The NPI number for Jaclyn Moore is 1992186506. It was assigned to this individual provider in the NPPES registry on June 10, 2015.

Where is Jaclyn Moore located?

Jaclyn Moore practices at 2577 S Five Mile Rd Ste 101, Boise, ID 83709. The listed phone number is (208) 639-1897.

What is Jaclyn Moore's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Jaclyn Moore was last updated on August 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.