AMANDA MOORE LPC NPI 1750152203

NPI Information

  • NPI: 1750152203
  • Provider Name: AMANDA MOORE, LPC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 855 N CAPITAL AVE STE 1
    IDAHO FALLS, ID
    ZIP 83402
  • Phone: (208) 552-0855

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NPI Details

Amanda Moore, LPC is a professional counselor in Idaho Falls, ID. Amanda Moore, LPC NPI is 1750152203. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

855 N CAPITAL AVE STE 1
IDAHO FALLS, ID
ZIP 83402-405
Phone: (208) 552-0855

The NPI 1750152203 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 1/12/2024 and was last updated on 1/12/2024.

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
1101YP2500XCounselorProfessional10116IDAHOYes

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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