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MADISON BLAZE MOORE
NPI 1003499237
Counselor in Marietta, OH

Active since May 05, 2021
207D COLEGATE DR, MARIETTA, OH 45750(740) 376-0930(740) 376-0933 Get Directions Write a Review

NPPES record last updated: May 5, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Madison Blaze Moore NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MADISON BLAZE MOORE (NPI 1003499237) is an individual counselor in Marietta, Ohio, licensed in Ohio (C.2002225-TRNE) and active in the NPI registry since May 2021.

NPPES Registry Identity

NPI1003499237
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMADISON BLAZE MOORE
Location Address207D COLEGATE DRMarietta, OH 45750-2363
Mailing Address207d Colegate DrMarietta, OH 45750-2363 · (740) 376-0930 · Fax (740) 376-0933
Phone(740) 376-0930
Fax(740) 376-0933
Sole ProprietorNo
Enumeration DateMay 5, 2021
NPPES CertifiedMay 5, 2021
✔ NPI 1003499237 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in OH · C.2002225-TRNE
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
207D COLEGATE DR, Marietta, OH 45750
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JONI HOOD
Counselor (Professional)
207D COLEGATE DR
MARIETTA, OH 45750
Washington County (740) 376-0930
ANDREW M TRAUGH
Case Manager/Care Coordinator
207D COLEGATE DR
MARIETTA, OH 45750
Washington County (740) 376-0930
ISAAC WORK
Case Manager/Care Coordinator
207D COLEGATE DR
MARIETTA, OH 45750
Washington County (740) 376-0930
KATELYN M SMITH-WALKER
Case Manager/Care Coordinator
207D COLEGATE DR
MARIETTA, OH 45750
Washington County (740) 376-0930
MRS. COLLEEN LINDSEY QMHS
Case Manager/Care Coordinator
207D COLEGATE DR
MARIETTA, OH 45750
Washington County (740) 376-0930
BETHANY MORRISON
Case Manager/Care Coordinator
207D COLEGATE DR
MARIETTA, OH 45750
Washington County (740) 376-0930
RICHARD BREWER
Case Manager/Care Coordinator
207D COLEGATE DR
MARIETTA, OH 45750
Washington County (740) 376-0930
DAYNA L. PITZER MSSA/LISW
Social Worker
207D COLEGATE DR
MARIETTA, OH 45750
Washington County (740) 376-0930

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Madison Moore's NPI number?

The NPI number for Madison Moore is 1003499237. It was assigned to this individual provider in the NPPES registry on May 5, 2021.

Where is Madison Moore located?

Madison Moore practices at 207D Colegate Dr, Marietta, OH 45750. The listed phone number is (740) 376-0930.

What is Madison Moore's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Madison Moore was last updated on May 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.