Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Coleen Moore

Individual provider Professional Counselor · NPI 1730824616

Coleen Moore is a Mental Health Counselor in Normal, Illinois. Qualified in 1998, 28 years ago. Practices with Gibson Community Hospital Association, a 159-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
28
Licensed in
IL
In the registry since
2022
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Practice location Address checks out

1606 Hunt Dr
Normal, IL 61761-2192
Phone: (309) 452-0069
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 180004169 (IL)

Record details

NPI number1730824616
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 4, 2022
Last updated in NPPESMay 4, 2022
Certification dateMay 4, 2022
Mailing address1606 Hunt Dr, Normal, IL 61761-2192

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Gibson Community Hospital Association — 159 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

Other providers in Normal