Stephanie Moore, MS, ADDC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

ADDC.0000354 Issued in CO

Practice address

3400 W 16TH St Ste P
Greeley, CO 80634-6871

Phone

(970) 978-4386

NPI assigned

Dec 6, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Brandon Moore Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1701820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1124895552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 W 16TH ST STE P",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806346871",
            "telephone_number": "720-473-9650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 W 16TH ST STE P",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806346871",
            "telephone_number": "970-978-4386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "STEPHANIE",
        "credential": "MS, ADDC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-06",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "ADDC.0000354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRANDON",
            "last_name": "MOORE",
            "credential": "MS, ADDC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jessica Mooney
• Candice Paige Moore
• Christopher P Moore, MD
• Holly Jo Moore, CAS
• Sheila Moore
• Jessi Mora
• Maddy Mora
• Shannon Elise Morado
• Jennifer Morales
• Cheryl L Moran, PTA

• Addiction (Substance Use Disorder) Counselor in Greeley, CO
• Providers in Greeley, CO by specialty
• Addiction (Substance Use Disorder) Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.