IndividualActive
Tracey Moore
NPI 1184105090 · Counselor · South Bend, IN
Tracey Moore is a Counselor provider in South Bend, IN (NPI 1184105090).
Provider details
- NPI number
- 1184105090
- Entity type
- Individual
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
415 E Madison St
South Bend, IN 46617-2322
Phone: (574) 533-1234
Fax: (574) 537-2652
Street-level locationGet directions
Mailing address
330 Lakeview Dr
Goshen, IN 46528-7000
Registry dates
- Enumerated
- 2018-08-28
- Last updated
- 2018-08-28
Frequently asked questions
- What is Tracey Moore's NPI number?
- Tracey Moore's National Provider Identifier (NPI) is 1184105090, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tracey Moore's specialty?
- Tracey Moore is listed in the NPPES registry with a primary specialty of Counselor (Behavioral Health & Social Service Providers).
- Where is Tracey Moore located?
- Tracey Moore's practice location on file with NPPES is 415 E Madison St, South Bend, IN 46617-2322.
- What is Tracey Moore's phone number?
- The practice phone number listed in the NPPES registry for Tracey Moore is (574) 533-1234.
- Is Tracey Moore's NPI active?
- Yes — Tracey Moore's NPI (1184105090) is active in the NPPES registry as of the last update on 2018-08-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.