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

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: July 19, 2026.

  • Individual
  • Female
  • Counselor
  • Mental Health

About JACLYN MOORE

This page provides the complete NPI Profile along with additional information for Jaclyn Moore, a provider established in Boise, Idaho with a medical specialization in Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1992186506 assigned on June 2015. The practitioner's primary taxonomy code is 101YM0800X with license number 6879 (ID). The provider is registered as an individual and her NPI record was last updated 8 years ago.

NPI
1992186506 Verify this NPI
Provider Name
JACLYN MOORE LCPC
Gender
Female
Entity Type
Individual
Location Address
2577 S FIVE MILE RD STE 101 BOISE, ID 83709
Location Phone
(208) 639-1897
Location Fax
(208) 639-9957
Mailing Address
2577 S FIVE MILE RD STE 101 BOISE, ID 83709
Mailing Phone
(208) 639-1897
Mailing Fax
(208) 639-9957
Is Sole Proprietor?
Yes
Enumeration Date
06-10-2015
Last Update Date
08-16-2018
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A mental health counselor like Jaclyn Moore provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Mental Health

Taxonomy Code
101YM0800X
Type
Behavioral Health & Social Service Providers
License No.
6879
License State
ID

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Counselor (Mental Health)
2577 S FIVE MILE RD STE 101
BOISE, ID 83709

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1992186506, enumerated as an "individual" on June 10, 2015.

The provider is located at 2577 S FIVE MILE RD STE 101 BOISE, ID 83709 and the phone number is (208) 639-1897.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.