Julie Nicole Mooney

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CACS5130122 Issued in CA

Practice address

1820 S Central St Ste C
Visalia, CA 93277-4420

Phone

(559) 372-7002

NPI assigned

Mar 19, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Champions Recovery Alternative Programs, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Visalia, CA
  • NPI 1295445484
  NPD
• Champions Recovery Alternative Programs, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Hanford, CA
  • NPI 1114206331
  NPD (past)

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

{
    "created_epoch": "1616112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711670400000",
    "number": "1417533563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7250 LICKEY CT",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932919264",
            "telephone_number": "559-799-5412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 S CENTRAL ST STE C",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932774420",
            "telephone_number": "559-372-7002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7250 Lickey Ct",
            "address_purpose": "LOCATION",
            "city": "Visalia",
            "state": "CA",
            "postal_code": "932919264",
            "country_code": "US",
            "telephone_number": "559-799-5412",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOONEY",
        "first_name": "JULIE",
        "middle_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-19",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "CACS5130122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reyna Cristal Montero
• Mark Monterroso
• Jesus Montes
• Andrea M Montoya
• Brian Monty, OTR CHT
• Jacob Robert Moore, RADT
• Megan Moore
• Paul Moore
• Araceli Mora
• Desiree Alyssa Mora

• All providers in Visalia, CA
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2024; 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.