Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1902459480 Individual Practitioner Male Practitioner

Cooper Thomas Moore , LMHC

Counselor - Mental Health • St Augustine, FL

Professional Overview & Biography Verified Profile Summary

Cooper Moore, LMHC is a registered healthcare professional specializing in Counselor - Mental Health in St Augustine, FL. Practice services are available at 1301 PLANTATION ISLAND DR S STE 202A under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1301 Plantation Island Dr S Ste 202a

St Augustine, FL 320803111

Telephone 9043188500
Associated Practice Facility / Clinic
🏢 Lighthouse Wellness Group Facility NPI 1114739604

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Mental Health in St Augustine, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.7 Yrs
State Avg: 15.5 Yrs
Regional Practice Density
127 Specialists

Practicing in St Augustine, FL (23930 Statewide)

Telehealth Adoption Rate
0.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-10-30
Counselor - Mental Health Primary Specialty

NUCC Taxonomy Code: 101YM0800X

State License FL MH18603

Definition to come...

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

State License FL 17529

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Christiana Griffith-Keith , LCSW

Social Worker - Clinical

NPI 1134089519

Licensed Clinical Social Worker

Rebecca Downey

Counselor - Mental Health

NPI 1821843822
Abigail Lanford , MS

Counselor - Mental Health

NPI 1841082682

Master of Science

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location October 30, 2023

Registered at 1301 PLANTATION ISLAND DR S STE 202A, ST AUGUSTINE, FL 320803111 (Tel: 9043188500)

📍
Updated Business Mailing Address October 30, 2023

Registered at 1301 PLANTATION ISLAND DR S STE 202A, ST AUGUSTINE, FL 320803111 (Tel: 9043188500)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 30, 2023

Counselor (License #MH18603 in FL)

📍
Updated Business Mailing Address November 17, 2020

Registered at 248 SOUTHPARK CIR E, ST AUGUSTINE, FL 320865137 (Tel: 9043188500)

👤
Provider Name / Credentials Updated November 17, 2020

Recorded as COOPER MOORE, LMHC

NPI Profile Active July 23, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location July 23, 2019

Registered at 248 SOUTHPARK CIR E, ST AUGUSTINE, FL 320865137 (Tel: 9043188500)

📍
Updated Business Mailing Address July 23, 2019

Registered at 55 RIBERIA ST APT 4, ST AUGUSTINE, FL 320843531 (Tel: 9043188500)

👤
Provider Name / Credentials Updated July 23, 2019

Recorded as COOPER MOORE, MS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 23, 2019

Counselor (License #17529 in FL)

🟢
Initial NPI Registration & Enumeration July 23, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Cooper Moore. Be the first to share your experience!

Sign in to leave a review for Cooper Moore

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1902459480
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 23, 2019
Last Update: October 30, 2023
Sole Proprietor: No

Mailing Address

1301 Plantation Island Dr S Ste 202a

St Augustine, FL 320803111

Phone: 9043188500

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.