Nastassia Marie Moore-Walker

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

RT1438180426 Issued in CA

Practice address

30 Joseph CT
San Rafael, CA 94903-2664

Phone

(415) 720-2029

NPI assigned

Jun 16, 2026

Sex

Female

Sole proprietor

No

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

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.

• Buckelew Programs

  • Substance Abuse Rehabilitation Facility
  • San Rafael, CA
  • NPI 1376404756
  NPD (past)

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

{
    "created_epoch": "1781568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1831024389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3809 PAINTED PONY RD",
            "city": "EL SOBRANTE",
            "state": "CA",
            "postal_code": "948032131",
            "telephone_number": "415-785-4993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 JOSEPH CT",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949032664",
            "telephone_number": "415-720-2029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE-WALKER",
        "first_name": "NASTASSIA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-16",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "RT1438180426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Montello
• Sobeyda M Monterroso Ramirez, RD
• Marci Nicole Montes, O.T.R.L.
• Monica Marie Montury
• Logan Moody
• Dion Ray Moore
• Donald Robert Moore
• Erin K Moore, CCAPP
• Gina Borelli Moore, MA, MFT
• Janet L. Moore

• Addiction (Substance Use Disorder) Counselor in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; 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.