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

Jacqueline Moore, LPC

Individual provider Professional Counselor · NPI 1245047463

Jacqueline Moore, LPC is a Professional Counselor in Meridian, Idaho. Practices as a sole proprietor and works from 2 locations. Licensed in Idaho.

Licensed in
ID
In the registry since
2024
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

3288 E Pine Ave
Meridian, ID 83642-5922
Phone: (208) 888-8886
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 690 S Industry Way Ste 45, Meridian, ID 83642-7907 — (801) 808-4129

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 4861472 (ID)

Record details

NPI number1245047463
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorYes
NPI enumeratedDecember 11, 2024
Last updated in NPPESOctober 15, 2025
Certification dateOctober 15, 2025

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