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

Mr. Theodore A Moore, MA

Individual provider Professional Counselor · NPI 1134290695

Mr. Theodore A Moore, MA is a Mental Health Counselor in Pennington, New Jersey. Qualified in 1995, 31 years ago. Accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
31
Licensed in
NJ
In the registry since
2006
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

2 Tree Farm Rd Ste B 220
Pennington, NJ 08534-3620
Phone: (609) 730-8282
Fax: (609) 730-8282
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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 37PC00015000 (NJ)

Record details

NPI number1134290695
Entity typeIndividual (Type 1)
GenderMale
Credentials MA
Sole proprietorNo
NPI enumeratedNovember 13, 2006
Last updated in NPPESJanuary 7, 2019

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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