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Active NPI 1053234450 Individual Practitioner Male Practitioner

Shane Moore , LCPC-C

Counselor - Professional • Saco, ME

Professional Overview & Biography Verified Profile Summary

Shane Moore, LCPC-C is a registered healthcare professional specializing in Counselor - Professional in Saco, ME. Practice services are available at 4 SCAMMON ST STE 19-305 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4 Scammon St Ste 19-305

Saco, ME 040725121

Telephone 6176579460

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Saco, ME

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.5 Yrs
State Avg: 17.4 Yrs
Regional Practice Density
66 Specialists

Practicing in Saco, ME (1105 Statewide)

Telehealth Adoption Rate
1.5% 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: 2026-08-03
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License ME XL8807

Definition to come...

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active August 03, 2026

NPI status registered as active in NPPES database

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Updated Practice Location August 03, 2026

Registered at 4 SCAMMON ST STE 19-305, SACO, ME 040725121 (Tel: 6176579460)

📍
Updated Business Mailing Address August 03, 2026

Registered at 4 SCAMMAN ST, SUITE 19-305, SACO, ME 040725121 (Tel: 6176579460)

👤
Provider Name / Credentials Updated August 03, 2026

Recorded as SHANE MOORE, LCPC-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 03, 2026

Counselor (License #XL8807 in ME)

🟢
Initial NPI Registration & Enumeration August 03, 2026

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: 1053234450
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 03, 2026
Last Update: August 03, 2026
Sole Proprietor: No

Mailing Address

4 Scamman St, Suite 19-305

Saco, ME 040725121

Phone: 6176579460

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.