Moore Counseling & Mediation Services, Inc.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

MOORE COUNSELING & MEDIATION SERVICES, INC.

Practice address

22639 Euclid Ave
Euclid, OH 44117-1622

Phone

(216) 404-1900

Fax

(216) 404-1901

NPI assigned

Aug 16, 2006

Last updated

Dec 15, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Brian T. MooreNPI 1861294266

Title

Vice President of Operations

Phone

(216) 404-1900

Specialties & licenses 11

Addresses

Locations

Practitioners 62

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brian Travis Moore

  • Case Manager/Care Coordinator
  • Euclid, OH
  • NPI 1861294266
  Authorized official Same address or phone
• Lentrail Abston

  • Case Manager/Care Coordinator
  • Cleveland, OH
  • NPI 1396583290
  NPD (past)
• Angela Gamboa Aviquivil

  • Student in an Organized Health Care Education/Training Program
  • Cleveland, OH
  • NPI 1417560160
  NPD (past)
• Lecretia Bolden

  • Addiction (Substance Use Disorder) Counselor
  • Cleveland, OH
  • NPI 1124590633
  NPD (past)
• Marcia Joan Bremenour, LPCC

  • Professional Counselor
  • Euclid, OH
  • NPI 1659400158
  NPD (past)
• Madison Brewer

  • Professional Counselor
  • Cleveland, OH
  • NPI 1003508532
  NPD (past)
• Jatanna Monique Carter

  • Addiction (Substance Use Disorder) Counselor
  • Cleveland, OH
  • NPI 1619827979
  NPD (past)
• Darla Michele Character-Johnson, CDCA

  • Addiction (Substance Use Disorder) Counselor
  • Cleveland, OH
  • NPI 1013640937
  NPD (past)
• Samantha Cola

  • Mental Health Counselor
  • Cleveland, OH
  • NPI 1790408037
  NPD (past)
• Denise Collins, LPCC, LICDC, CEAP

  • Professional Counselor
  • Euclid, OH
  • NPI 1932210390
  NPD (past)
• Antonio Dante Conway, LPCC, LICDC

  • Mental Health Counselor
  • Cleveland, OH
  • NPI 1790284560

  Addiction (Substance Use Disorder)

  NPD (past)
• Celia Destefanis

  • Addiction (Substance Use Disorder) Counselor
  • Cleveland, OH
  • NPI 1487467932
  NPD (past)

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671062400000",
    "number": "1235242280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22639 EUCLID AVLE",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441171622",
            "telephone_number": "216-404-1900",
            "fax_number": "216-404-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22639 EUCLID AVE",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441171622",
            "telephone_number": "216-404-1900",
            "fax_number": "216-404-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOORE COUNSELING & MEDIATION SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "VICE PRESIDENT OF OPERATIONS",
        "authorized_official_telephone_number": "216-404-1900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "902767",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "975996",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "E00003028",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "E0000904",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "E00003026",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E00003026",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E00003028",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E0000904",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E00002963",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I0010125",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Moriliat Mogaji
• Jessica Monroe, LPN-IV
• Tiffany Monroe, PHD
• Ta'Liyah Montana
• Moore Counseling & Mediation Services
• Moore Counseling and Mediation Services
• Brian Travis Moore
• Dante Moore
• Kimberly E Moore
• Laura C Moore, RD

• Professional Counselor in Euclid, OH
• Providers in Euclid, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2022; 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.