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CRYSTAL ARLENE MOAN
NPI 1063158459
Counselor - Addiction (Substance Use Disorder) in Roseburg, OR

Active since May 09, 2022
621 W MADRONE ST, ROSEBURG, OR 97470(541) 440-3532(541) 440-3554 Get Directions Write a Review

NPPES record last updated: May 9, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Crystal Arlene Moan NPPES

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

CRYSTAL ARLENE MOAN (NPI 1063158459) is an individual addiction (substance use disorder) provider in Roseburg, Oregon, licensed in Oregon (T-21-566) and active in the NPI registry since May 2022.

NPPES Registry Identity

NPI1063158459
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameCRYSTAL ARLENE MOAN
Location Address621 W MADRONE STRoseburg, OR 97470-3090
Mailing AddressPo Box 1121Roseburg, OR 97470-0254 · (541) 440-3552 · Fax (541) 440-3554
Phone(541) 440-3532
Fax(541) 440-3554
Sole ProprietorNo
Enumeration DateMay 9, 2022
NPPES CertifiedMay 9, 2022
✔ NPI 1063158459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OR · T-21-566
621 W MADRONE ST, Roseburg, OR 97470
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

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.

WILLIAM F SHOBE JR. LMFT
Marriage & Family Therapist
621 W MADRONE ST
ROSEBURG, OR 97470
Douglas County (541) 492-4550
HEATHER IRENE JOHNSON MSW
Social Worker
621 W MADRONE ST
ROSEBURG, OR 97470
Douglas County (541) 440-3532
URIAH HEATH YRAGUEN
Peer Specialist
621 W MADRONE ST
ROSEBURG, OR 97470
Douglas County (541) 672-2691
MR. DALE EDWARD WILLIAMS MC, LPC
Counselor (Mental Health)
621 W MADRONE ST
ROSEBURG, OR 97470
Douglas County (541) 440-3532
EMILY TUCKER LPC NCC
Counselor (Professional)
621 W MADRONE ST
ROSEBURG, OR 97470
Douglas County (541) 672-2691
INGER C BOYD MA ED., BS
Counselor
621 W MADRONE ST
ROSEBURG, OR 97470
Douglas County (541) 440-3532
MAE L HOOPES
Counselor (Addiction (Substance Use Disorder))
621 W MADRONE ST
ROSEBURG, OR 97470
Douglas County (541) 672-2691
JENNIFER DIANE LOWRY
Counselor (Mental Health)
621 W MADRONE ST
ROSEBURG, OR 97470
Douglas County (541) 440-3532

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 Crystal Moan's NPI number?

The NPI number for Crystal Moan is 1063158459. It was assigned to this individual provider in the NPPES registry on May 9, 2022.

Where is Crystal Moan located?

Crystal Moan practices at 621 W Madrone St, Roseburg, OR 97470. The listed phone number is (541) 440-3532.

What is Crystal Moan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

What insurance does Crystal Moan accept?

Health plans from Moda Health Plan, Inc. list Crystal Moan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Crystal Moan was last updated on May 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.