Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1629231469 Deactivated / Inactive NPI Female Practitioner

Donna Clenette Moore , BUS

Counselor • Selmer, TN

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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, Donna Moore has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 02, 2008
NPI Deactivation Date May 28, 2026
Total Practice Duration ~18 Years of Practice (2008 – 2026)

Professional Overview & Biography Verified Profile Summary

Donna Moore, BUS was a registered Counselor practicing in Selmer, TN. Throughout an active medical career spanning 18 years, Donna Moore provided care at the practice location at 641 E POPLAR AVE until profile deactivation on 2026-05-28.

Practice Location & Contact Primary Location

Practice Address

641 E Poplar Ave

Selmer, TN 383751828

Telephone 7316455753
Fax 7316459885

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Selmer, TN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.5 Yrs
Regional Practice Density
26 Specialists

Practicing in Selmer, TN (1666 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 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.

Practice Associates & Co-Workers

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

31 Associated Practitioners
Matthew King , NP-C

Nurse Practitioner - Family

NPI 1104228527

Nurse Practitioner (Certified)

Lashon Conner , APN

Nurse Practitioner - Psychiatric/Mental Health

NPI 1134438062

Advanced Practice Nurse

NPI 1154508190

Bachelor of Science

NPI 1154577211

Master of Education

NPI 1174669287
NPI 1255540589

Bachelor 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 May 28, 2026

Record deactivated on May 28, 2026

NPI Profile Active July 02, 2008

NPI status registered as active in NPPES database

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Updated Practice Location July 02, 2008

Registered at 641 E POPLAR AVE, SELMER, TN 383751828 (Tel: 7316455753)

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Updated Business Mailing Address July 02, 2008

Registered at 641 E POPLAR AVE, SELMER, TN 383751828 (Tel: 7316455753)

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Provider Name / Credentials Updated July 02, 2008

Recorded as DONNA MOORE, BUS

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 02, 2008

Counselor

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Initial NPI Registration & Enumeration July 02, 2008

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: 1629231469
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 02, 2008
Last Update: July 02, 2008
Deactivation Date: May 28, 2026

Mailing Address

641 E Poplar Ave

Selmer, TN 383751828

Phone: 7316455753

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.