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

Ida Moore, LPC

Individual provider Mental Health Counselor · NPI 1801362983

Ida Moore, LPC is a Mental Health Counselor in Edmond, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.

Licensed in
OK
In the registry since
2018
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

16224 Everglade Ln
Edmond, OK 73013-1259
Phone: (405) 609-4307
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 3156 (OK)

Record details

NPI number1801362983
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorYes
NPI enumeratedOctober 16, 2018
Last updated in NPPESOctober 16, 2018
Mailing address16224 Everglade Ln, Edmond, OK 73013-1259

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