Moore & Associates, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

2613 Issued in WI

Legal business name

MOORE & ASSOCIATES, INC.

Practice address

6530 Sheridan Road
Suite # 3
Kenosha, WI 53143

Phone

(262) 945-7266

Fax

(262) 605-1404

NPI assigned

Apr 7, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Tony Curtis Moore, MS, ICS, CSACNPI 1689840332

Title

Director

Phone

(262) 945-7266

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Birds of a Feather, Inc. Other name

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tony Curtis Moore, CADC,CCS

  • Addiction (Substance Use Disorder) Counselor
  • Kenosha, WI
  • NPI 1689840332

  WI

  Medicare reassignment NPD Authorized official
• Nadia Ann Czarniak, LCSW, CSAC, ICS

  • Clinical Social Worker
  • Milwaukee, WI
  • NPI 1841532165

  WI

  Medicare reassignment NPD

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

{
    "created_epoch": "1207526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666742400000",
    "number": "1649443136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6530 SHERIDAN ROAD",
            "address_2": "SUITE # 3",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "53143",
            "telephone_number": "262-945-7266",
            "fax_number": "262-605-1404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6530 SHERIDAN ROAD",
            "address_2": "SUITE # 3",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "53143",
            "telephone_number": "262-945-7266",
            "fax_number": "262-605-1404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOORE & ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-07",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "TONY",
        "authorized_official_middle_name": "CURTIS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "262-945-7266",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS, ICS, CSAC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WI",
            "license": "2613",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39169700",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42242921",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42242900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Birds of a Feather, Inc.",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Birds of a Feather, Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Modern Family Dentists LLC
• Kerah Mae Modesti, LPC-IT
• Manar Mohammad
• Cody L Moldenhauer, DPT
• Leonardo Montemurro Sr., MD
• Alejandra Moore, APNP
• Carrie Renae Moore, SAC-IT
• Hazel E Moore, DDS
• Kelan A Moore, M.D.
• Tabitha Jane Moore, PTA

• All providers in Kenosha, WI
• Community/Behavioral Health Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.