CHARLOTTE J MOORE LCPC CADC NPI 1568737252

NPI Information

  • NPI: 1568737252
  • Provider Name: CHARLOTTE J MOORE, LCPC, CADC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • Address: 5537 N BROADWAY ST
    CHICAGO, IL
    ZIP 60640
  • Phone: (773) 989-9400

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NPI Details

Charlotte J Moore, LCPC, CADC is a professional counselor in Chicago, IL. Charlotte J Moore, LCPC, CADC NPI is 1568737252. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5537 N BROADWAY ST
CHICAGO, IL
ZIP 60640-405
Phone: (773) 989-9400
Fax: (773) 989-9494

The enumeration date for this NPI number is 3/14/2012 and was last updated on 3/14/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)17678ILLINOISNo
2101YM0800XCounselorMental Health180.005476ILLINOISNo
3101YP2500XCounselorProfessional180.005476ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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