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

Mr. Cooper Thomas Moore, LMHC

Individual provider Mental Health Counselor · NPI 1902459480

Mr. Cooper Thomas Moore, LMHC is a Mental Health Counselor in St Augustine, Florida. Licensed in Florida. Registered with an NPI since 2019.

Licensed in
FL
In the registry since
2019
Specialties on file
2
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

1301 Plantation Island Dr S Ste 202A
St Augustine, FL 32080-3111
Phone: (904) 318-8500
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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 MH18603 (FL)
Mental Health Counselor Taxonomy 101YM0800X · Licence 17529 (FL)

Record details

NPI number1902459480
Entity typeIndividual (Type 1)
GenderMale
Credentials LMHC
Sole proprietorNo
NPI enumeratedJuly 23, 2019
Last updated in NPPESOctober 30, 2023
Certification dateOctober 30, 2023

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