Active NPI
Sabrina J Moore-Cannon, CACI
- Addiction (Substance Use Disorder) Counselor
- Washington, DC
National Provider Identifier
1609648963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- CACI1052
- Practice address
- 1320 Good Hope Rd SE
Washington, DC 20020-6912 - Phone
- (202) 610-1886
- Fax
- (202) 610-1887
- NPI assigned
- Oct 30, 2023
- Sex
- Female
- Sole proprietor
- No
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 | CACI1052 | DC | Primary |
Addresses
Primary practice location
1320 Good Hope Rd SE
Washington, DC 20020-6912
Mailing address
1601 Nova Ave
Capitol Heights, MD 20743-5219
Phone (202) 486-6563
Other names 1
- Sabrina Moore
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 |
|---|---|---|---|
| CACI1052 | DC | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698624000000",
"number": "1609648963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 NOVA AVE",
"city": "CAPITOL HEIGHTS",
"state": "MD",
"postal_code": "207435219",
"telephone_number": "202-486-6563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1320 GOOD HOPE RD SE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200206912",
"telephone_number": "202-610-1886",
"fax_number": "202-610-1887"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE-CANNON",
"first_name": "SABRINA",
"middle_name": "J",
"credential": "CACI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-30",
"last_updated": "2023-10-30",
"certification_date": "2023-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "DC",
"license": "CACI1052",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SABRINA",
"last_name": "MOORE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.