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Deactivated NPI 1033103809 Deactivated / Inactive NPI Female Practitioner

Dr. Ellen Moore , PhD

Counselor - Professional • Sedalia, MO

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Ellen Moore has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 07, 2005
NPI Deactivation Date November 01, 2022
Total Practice Duration ~17 Years of Practice (2005 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Ellen Moore, PhD was a registered Counselor - Professional practicing in Sedalia, MO. Throughout an active medical career spanning 17 years, Dr. Moore provided care at the practice location at 108 E 5TH ST until profile deactivation on 2022-11-01.

Practice Location & Contact Primary Location

Practice Address

108 E 5th St

Sedalia, MO 653014402

Telephone 6608274449
Fax 6608276489
Associated Practice Facility / Clinic
🏢 Harlan And Associates Facility NPI 1366435893

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Sedalia, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.3 Yrs
State Avg: 13.5 Yrs
Regional Practice Density
21 Specialists

Practicing in Sedalia, MO (5929 Statewide)

Telehealth Adoption Rate
0.0% 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

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License MO 2002013061

Definition to come...

Practice Associates & Co-Workers

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

3 Associated Practitioners
NPI 1013900521
Dr. Margaret Harlan , EdD

Psychologist - Clinical Child & Adolescent

NPI 1720071210

Doctor of Education (Ed.D.)

Michel Popyk , MSW

Social Worker - Clinical

NPI 1720282577

Master of Social Work

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated November 01, 2022

Record deactivated on November 01, 2022

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 09, 2007

Registered at 108 E 5TH ST, SEDALIA, MO 653014402 (Tel: 6608274449)

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Updated Business Mailing Address July 09, 2007

Registered at 108 E 5TH ST, SEDALIA, MO 653014402 (Tel: 6608274449)

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Provider Name / Credentials Updated July 09, 2007

Recorded as ELLEN MOORE, PH.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Counselor (License #2002013061 in MO)

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Initial NPI Registration & Enumeration September 07, 2005

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: 1033103809
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 07, 2005
Last Update: July 09, 2007
Deactivation Date: November 01, 2022

Mailing Address

108 E 5th St

Sedalia, MO 653014402

Phone: 6608274449

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.