Robert E McManimon Moe, BS, ADC-T

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

ADC-T Issued in MN

Practice address

131 Harriet St
Winona, MN 55987-3177

Phone

(507) 454-2839

Fax

(507) 454-5864

NPI assigned

Jun 8, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Robert Edward Moe Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

State licenses

Practice roles

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.

• Moving on Recovery and Education

  • Addiction (Substance Use Disorder) Counselor
  • Winona, MN
  • NPI 1568890127
  NPD (past)
• Moving on Recovery and Education

  • Addiction (Substance Use Disorder) Counselor
  • Winona, MN
  • NPI 1700214194
  NPD (past)

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254700800000",
    "number": "1447290374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 HARRIET ST",
            "city": "WINONA",
            "state": "MN",
            "postal_code": "559873177",
            "telephone_number": "507-454-2839",
            "fax_number": "507-454-5864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 HARRIET ST",
            "city": "WINONA",
            "state": "MN",
            "postal_code": "559873177",
            "telephone_number": "507-454-2839",
            "fax_number": "507-454-5864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMANIMON MOE",
        "first_name": "ROBERT",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "BS, ADC-T",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2009-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "ADC-T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39344000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBERT",
            "last_name": "MOE",
            "middle_name": "EDWARD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gabriella Pearl McDowell
• Dennis J McEntaffer, P.T.
• Anastasia Love McFarlane
• Destiny McGeough
• Robert C McMahon, OD
• Raquela McManimon-Myers
• Molly Christine McNulty
• Meisel Chiropractic Center, PA
• Scott A. Meisel, D.C.
• Angela Mensink, LPCC

• Addiction (Substance Use Disorder) Counselor in Winona, MN
• Providers in Winona, MN by specialty
• Addiction (Substance Use Disorder) Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2009; 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.