Individual provider · Type 1 NPI

Richard Moody

Counselor · Lake Elsinore, CA

NPI number 1225969686 Active

Practice location

16667 Lakeshore Dr
Lake Elsinore, CA 92530-6708

Mailing address

1800 E Lakeshore Dr Unit 810
Lake Elsinore, CA 92530-4473

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: 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.

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About NPI 1225969686

Richard Moody's National Provider Identifier is 1225969686, issued on May 26, 2026. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Lake Elsinore, CA. The record was last updated on May 26, 2026.