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

Individual provider Mental Health Counselor · NPI 1649692054

Jerrold Moore, LMHC is a Mental Health Counselor in Plymouth, Indiana. Licensed in Indiana. Registered with an NPI since 2014.

Licensed in
IN
In the registry since
2014
What do these letters mean?
LMHC — Licensed Mental Health Counselor
A licensed mental health counsellor; the title used in Florida, New York and Washington among others.

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Practice location Address checks out

990 Illinois St
Plymouth, IN 46563-3622
Phone: (574) 936-9646
Fax: (574) 935-4773
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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 39001287A (IN)

Record details

NPI number1649692054
Entity typeIndividual (Type 1)
GenderMale
Credentials LMHC
Sole proprietorNo
NPI enumeratedJanuary 21, 2014
Last updated in NPPESJanuary 21, 2014
Mailing address850 N Harrison St, Warsaw, IN 46580-3163

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