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

Nicole Moody, LMFT

Individual provider Counselor · NPI 1457831901

Nicole Moody, LMFT is a Counselor in Syracuse, New York. Licensed in New York. Registered with an NPI since 2018.

Licensed in
NY
In the registry since
2018
Specialties on file
2
What do these letters mean?
LMFT — Licensed Marriage and Family Therapist
A therapist licensed to treat couples and families.

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Practice location Address checks out

620 Erie Blvd W Ste 208
Syracuse, NY 13204-2457
Phone: (315) 472-7363
Fax: (315) 701-2368
Show map & directions

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

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 001645 (NY)
Counselor Taxonomy 101Y00000X · Licence P12131 (NY)

Record details

NPI number1457831901
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMFT
Sole proprietorNo
NPI enumeratedAugust 15, 2018
Last updated in NPPESFebruary 6, 2020
Certification dateFebruary 6, 2020

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