Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1033708623 Individual Practitioner Female Practitioner

Marty Jo Moore , RN

Counselor • Boise, ID

Professional Overview & Biography Verified Profile Summary

Marty Moore, RN is a registered healthcare professional specializing in Counselor in Boise, ID. Practice services are available at 2020 W SPAULDING ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2020 W Spaulding St

Boise, ID 837053551

Telephone 2087212045

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Boise, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.4 Yrs
State Avg: 10.6 Yrs
Regional Practice Density
145 Specialists

Practicing in Boise, ID (507 Statewide)

Telehealth Adoption Rate
2.1% 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: 2021-01-18
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Dl
ZC248462K (ID)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active January 18, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location January 18, 2021

Registered at 2020 W SPAULDING ST, BOISE, ID 837053551 (Tel: 2087212045)

📍
Updated Business Mailing Address January 18, 2021

Registered at 2020 W SPAULDING ST, BOISE, ID 837053551 (Tel: 2087212045)

👤
Provider Name / Credentials Updated January 18, 2021

Recorded as MARTY MOORE, RN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 18, 2021

Counselor

🟢
Initial NPI Registration & Enumeration January 18, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1033708623
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 18, 2021
Last Update: January 18, 2021
Sole Proprietor: Yes

Mailing Address

2020 W Spaulding St

Boise, ID 837053551

Phone: 2087212045

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.