Individual provider Active NPI

Thomas Edward Moore, CAC II

  • Addiction (Substance Use Disorder) Counselor
  • Washington, DC
National Provider Identifier
1871970194
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CACII1000 Issued in DC
Practice address
2112 F St NW
Washington, DC 20037-2715
Phone
(202) 560-8706
Fax
(202) 388-8509
NPI assigned
May 6, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CACII1000 DC Primary

Addresses

Primary practice location

2112 F St NW
Washington, DC 20037-2715

Mailing address

3937 S St SE Apt A8
Washington, DC 20020-1009
Phone (202) 560-8706

Other practice location 1

5323 D St SE
Washington, DC 20019-6128
Phone (202) 327-1732

Other practice location 2

2600 Bryan Pl SE
Washington, DC 20020-4417
Phone (202) 934-3251

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

LicenseStateTypeSpecialty
CACII1000DCMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1430870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1871970194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3937 S ST SE APT A8",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200201009",
            "telephone_number": "202-560-8706",
            "fax_number": "202-388-8509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 F ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200372715",
            "telephone_number": "202-560-8706",
            "fax_number": "202-388-8509"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5323 D St SE",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200196128",
            "country_code": "US",
            "telephone_number": "202-327-1732",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2600 Bryan Pl SE",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200204417",
            "country_code": "US",
            "telephone_number": "202-934-3251",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "THOMAS",
        "middle_name": "EDWARD",
        "credential": "CAC II",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-06",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "DC",
            "license": "CACII1000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 2, 2025; 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.