IndividualActive
Mark Moore, MA
NPI 1548679384 · Mental Health Counselor · Waconia, MN
Mark Moore, MA is a Mental Health Counselor provider in Waconia, MN (NPI 1548679384).
Provider details
- NPI number
- 1548679384
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- MA
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
540 E 1st St
Waconia, MN 55387
Phone: (952) 442-4437
Fax: (952) 442-3084
Street-level locationGet directions
Mailing address
9533 Roosevelt Dr
Chanhassen, MN 55317-4612
Additional practice locations (1)
- 4570 W 77th St Ste 315Edina, MN 55435-5035Phone: (952) 913-5403
Registry dates
- Enumerated
- 2014-08-06
- Last updated
- 2018-08-09
Frequently asked questions
- What is Mark Moore's NPI number?
- Mark Moore's National Provider Identifier (NPI) is 1548679384, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mark Moore's specialty?
- Mark Moore is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Mark Moore located?
- Mark Moore's practice location on file with NPPES is 540 E 1st St, Waconia, MN 55387.
- What is Mark Moore's phone number?
- The practice phone number listed in the NPPES registry for Mark Moore is (952) 442-4437.
- Is Mark Moore's NPI active?
- Yes — Mark Moore's NPI (1548679384) is active in the NPPES registry as of the last update on 2018-08-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.