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

Mr. Timothy Howard Moore, LPC

Individual provider Counselor · NPI 1144494881

Mr. Timothy Howard Moore, LPC is a Mental Health Counselor in Decatur, Illinois. Qualified in 2007, 19 years ago. Practices as a sole proprietor. Licensed in Illinois.

Years since qualifying
19
Licensed in
IL
In the registry since
2008
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

3040 N University Ave Ste 2
Decatur, IL 62526-1391
Phone: (217) 872-1700
Fax: (217) 872-1366
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X (IL)

Record details

NPI number1144494881
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorYes
NPI enumeratedApril 14, 2008
Last updated in NPPESApril 14, 2008
Mailing address3040 N University Ave, Suite 2, Decatur, IL 62526-1391

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Accepts Medicare assignment Not indicated

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