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MS. MELLAKNESE MOORE CPC-I, MS,ICADC, BSB
NPI 1215562806
Counselor - Professional in Las Vegas, NV

Active since March 04, 2020
3785 E SUNSET RD, LAS VEGAS, NV 89120(702) 482-9620 Get Directions Write a Review

NPPES record last updated: February 12, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 29, 2023, Nov 3, 2022, Mar 4, 2020 (3 updates tracked since 2020).

About Ms. Mellaknese Moore Cpc-i, Ms,icadc, Bsb NPPES

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

MS. MELLAKNESE MOORE CPC-I, MS,ICADC, BSB (NPI 1215562806) is an individual professional provider in Las Vegas, Nevada, licensed in Nevada (C15180) and active in the NPI registry since March 2020. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1215562806
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. MELLAKNESE MOORECredential: CPC-I, MS,ICADC, BSB
Location Address3785 E SUNSET RDLas Vegas, NV 89120-6259
Mailing Address9918 Shadow Grove AveLas Vegas, NV 89148-4608 · (702) 935-0025 · Fax (702) 935-0008
Phone(702) 482-9620
Sole ProprietorNo
Enumeration DateMarch 4, 2020
Last NPPES UpdateFebruary 12, 20243 updates tracked since enumeration
NPPES CertifiedFebruary 12, 2024
✔ NPI 1215562806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in NV · C15180
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 1501 (AR)
3785 E SUNSET RD, Las Vegas, NV 89120
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Secondary Practice Locations 2

Location 12780 S Jones Blvd Ste 100ALas Vegas, NV 89146-5625 · Phone (702) 820-3061 · Fax (702) 935-0008
Location 22920 N Green Valley Pkwy Ste 312Henderson, NV 89014-0412 · Phone (702) 935-0025 · Fax (702) 935-0008

Other Providers at the Same Location NPPES 18

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

FERRAH MELTON
Peer Specialist
3785 E SUNSET RD
LAS VEGAS, NV 89120
Clark County (480) 243-2718
BRETT SNELL
Peer Specialist
3785 E SUNSET RD
LAS VEGAS, NV 89120
Clark County (602) 561-2534
STEPHANIE ALEXANDRIA ABEYTA CADC
Counselor (Addiction (Substance Use Disorder))
3785 E SUNSET RD
LAS VEGAS, NV 89120
Clark County (725) 237-1300
YOUR CHOIC BEHAVIORAL
Behavior Analyst
3785 E SUNSET RD, SUITE # A-10
LAS VEGAS, NV 89120
Clark County (702) 985-2345
MS. CHRISTINE G MCKAMEY BSW
Rehabilitation Practitioner
3785 E SUNSET RD
LAS VEGAS, NV 89120
Clark County (775) 484-6616
COREY JOSEPH JAMES
Behavior Analyst
3785 E SUNSET RD
LAS VEGAS, NV 89120
Clark County (602) 329-7650
MS. JOYCE JOHNSON
Behavior Analyst
3785 E SUNSET RD, SUITE A-10
LAS VEGAS, NV 89120
Clark County (702) 985-2345
BREE CRUSOE
Peer Specialist
3785 E SUNSET RD
LAS VEGAS, NV 89120
Clark County (602) 481-1205

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 Mellaknese Moore's NPI number?

The NPI number for Mellaknese Moore is 1215562806. It was assigned to this individual provider in the NPPES registry on March 4, 2020.

Where is Mellaknese Moore located?

Mellaknese Moore practices at 3785 E Sunset Rd, Las Vegas, NV 89120. The listed phone number is (702) 482-9620.

What is Mellaknese Moore's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Mellaknese Moore was last updated on February 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.