Active NPI
Laura Kristie Moreno, CADCI
- Addiction (Substance Use Disorder) Counselor
- Keizer, OR
National Provider Identifier
1497032056
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 190702
- Practice address
- 5264 Bobbie CT N
Keizer, OR 97303-7502 - Phone
- (503) 851-1520
- NPI assigned
- Nov 10, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 190702 | OR | Primary |
Addresses
Primary practice location
5264 Bobbie CT N
Keizer, OR 97303-7502
Mailing address
5264 Bobbie CT N
Keizer, OR 97303-7502
Phone (503) 851-1520
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 190702 | OR | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320883200000",
"number": "1497032056",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5264 BOBBIE CT N",
"city": "KEIZER",
"state": "OR",
"postal_code": "973037502",
"telephone_number": "503-851-1520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5264 BOBBIE CT N",
"city": "KEIZER",
"state": "OR",
"postal_code": "973037502",
"telephone_number": "503-851-1520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORENO",
"first_name": "LAURA",
"middle_name": "KRISTIE",
"credential": "CADCI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-11-10",
"last_updated": "2011-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OR",
"license": "190702",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Keizer, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.