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Jerrold Moore, LMHC
NPI 1649692054 · Mental Health Counselor · Plymouth, IN
Jerrold Moore, LMHC is a Mental Health Counselor provider in Plymouth, IN (NPI 1649692054).
Provider details
- NPI number
- 1649692054
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- LMHC
- Sex
- Male
- Sole proprietor
- No
- License
- 39001287A (IN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(76/100 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
100% 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
990 Illinois St
Plymouth, IN 46563-3622
Phone: (574) 936-9646
Fax: (574) 935-4773
Street-level locationGet directions
Mailing address
850 N Harrison St
Warsaw, IN 46580-3163
Registry dates
- Enumerated
- 2014-01-21
- Last updated
- 2014-01-21
Frequently asked questions
- What is Jerrold Moore's NPI number?
- Jerrold Moore's National Provider Identifier (NPI) is 1649692054, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jerrold Moore's specialty?
- Jerrold Moore is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Jerrold Moore located?
- Jerrold Moore's practice location on file with NPPES is 990 Illinois St, Plymouth, IN 46563-3622.
- What is Jerrold Moore's phone number?
- The practice phone number listed in the NPPES registry for Jerrold Moore is (574) 936-9646.
- Is Jerrold Moore's NPI active?
- Yes — Jerrold Moore's NPI (1649692054) is active in the NPPES registry as of the last update on 2014-01-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.