NICHOLAUS OWEN MOORE NPI 1649914409

NPI Information

  • NPI: 1649914409
  • Provider Name: NICHOLAUS OWEN MOORE
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 345 E 4500 S STE 100
    MURRAY, UT
    ZIP 84107
  • Phone: (801) 465-5111

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NPI Details

Nicholaus Owen Moore is a mental health counselor in Murray, UT. Nicholaus Owen Moore NPI is 1649914409. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

345 E 4500 S STE 100
MURRAY, UT
ZIP 84107-991
Phone: (801) 465-5111

The enumeration date for this NPI number is 4/26/2022 and was last updated on 4/26/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental Health12735586-6009UTAHYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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