MR. MARK MOORE (MA) – Mental Health Counselor, NPI 1548679384

MR. MARK MOORE (MA) is a healthcare provider. based in Edina, Minnesota. specializing in Mental Health Counselor. They hold the professional credentials MA. The NPI Number for MR. MARK MOORE (MA) is 1548679384

Main info

Male
Name
MR. MARK MOORE (MA)
NPI
1548679384
Phone
(952) 913-5403
Address
4570 W 77th St Ste 315
Enumeration Date
6 August 2014
Last Update Date
9 August 2018
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience27
Completeness75
Years active:11State licenses:0Digital endpointsOther names

Provider Addresses for MR. MARK MOORE (MA)

  • 4570 W 77th St Ste 315

    Edina, MN 554355035

    Phone: (952) 913-5403

    Type: Location

  • 9533 ROOSEVELT DR

    CHANHASSEN, MN 553174612

    Phone: (952) 250-0602

    Type: Mailing

  • 540 E 1ST ST

    WACONIA, MN 55387

    Phone: (952) 442-4437

    Fax: (952) 442-3084

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55435)

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Reviews

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Frequently asked questions

Is MR. MARK MOORE (MA) listed with a National Provider Identifier?
Yes — MR. MARK MOORE (MA) has NPI 1548679384 on file in the registry.
Would MR. MARK MOORE (MA) appear as active to a payer?
You can treat MR. MARK MOORE (MA) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with MR. MARK MOORE (MA)?
MR. MARK MOORE (MA)'s record emphasizes Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Is MR. MARK MOORE (MA) located near Edina?
MR. MARK MOORE (MA) currently maps to Edina, Minnesota in this extract.
When was this NPI issued?
Enumeration for MR. MARK MOORE (MA) is noted as August 6, 2014 where the registry provides it.

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