DR. C L MOORE PHD LP LMFT NPI 1982737011

NPI Information

  • NPI: 1982737011
  • Provider Name: DR. C L MOORE, PHD LP LMFT
  • Classification: Marriage & Family Therapist - 106H00000X
  • Entity Type: Individual
  • Address: 2440 NORTH CHARLES ST
    STE 236
    N ST PAUL, MN
    ZIP 55109
  • Phone: (651) 771-4766

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NPI Details

DR. C L Moore, PHD LP LMFT is a marriage family therapist in N St Paul, MN. The provider is a marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. DR. C L Moore, PHD LP LMFT NPI is 1982737011. 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:

2440 NORTH CHARLES ST
STE 236
N ST PAUL, MN
ZIP 55109
Phone: (651) 771-4766
Fax: (651) 771-4784

The enumeration date for this NPI number is 3/14/2007 and was last updated on 9/11/2025.

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
1103T00000XPsychologistLP2246MINNESOTANo
2103T00000XPsychologistPY00000625WASHINGTONNo
3103T00000XPsychologist440COLORADONo
4106H00000XMarriage & Family Therapist1MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1104097OTHERMINNESOTAU CARE
239036800OTHERWISCONSINWI MEDICAID
3212T8PEOTHERMINNESOTABC BS BT
46049644OTHERMINNESOTASTATE OF MN
5HP19293OTHERMINNESOTAHEALTH PARTNERS

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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