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STACEY L MOORE LPC
NPI 1225210206
Counselor - Professional in Wauwatosa, WI

Active since November 30, 2007
1220 DEWEY AVE, WAUWATOSA, WI 53213(414) 454-6600(414) 454-6450 Get Directions Write a Review

NPPES record last updated: November 30, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stacey L Moore Lpc NPPES

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

STACEY L MOORE LPC (NPI 1225210206) is an individual professional provider in Wauwatosa, Wisconsin, licensed in Wisconsin (3571) and active in the NPI registry since November 2007.

NPPES Registry Identity

NPI1225210206
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSTACEY L MOORECredential: LPC
Location Address1220 DEWEY AVEWauwatosa, WI 53213-2504
Mailing Address1220 Dewey AveWauwatosa, WI 53213-2504 · (414) 454-6600 · Fax (414) 454-6450
Phone(414) 454-6600
Fax(414) 454-6450
Sole ProprietorNo
Enumeration DateNovember 30, 2007
✔ NPI 1225210206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in WI · 3571
1220 DEWEY AVE, Wauwatosa, WI 53213
Open in Google Maps ↗

Other Identifiers 1

Medicaid40995500WI

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.

AMANDA DRESSER
Pharmacist
1220 DEWEY AVE
WAUWATOSA, WI 53213
Milwaukee County (414) 454-6796
JEAN A MUERHOFF-SCHWEDA PSY.D.
Psychologist
1220 DEWEY AVE, LORTON BLDG, RM 208
WAUWATOSA, WI 53213
Milwaukee County (414) 454-6731
DR. UPTON THOMAS M.D.
Psychiatry & Neurology (Psychiatry)
1220 DEWEY AVE
WAUWATOSA, WI 53213
Milwaukee County (414) 454-6754
DR. ASHOK R BEDI MD
Psychiatry & Neurology (Psychiatry)
1220 DEWEY AVE
WAUWATOSA, WI 53213
Milwaukee County (414) 454-6610
DR. ABDUL MATEEN KHAZI MD
Psychiatry & Neurology (Psychiatry)
1220 DEWEY AVE
WAUWATOSA, WI 53213
Milwaukee County (414) 454-6574
MICHAEL FULLER MCBRIDE MD
Psychiatry & Neurology (Psychiatry)
1220 DEWEY AVE
WAUWATOSA, WI 53213
Milwaukee County (414) 454-6610
DR. KAROLE MARIE KUSLAK DO
Psychiatry & Neurology (Psychiatry)
1220 DEWEY AVE
WAUWATOSA, WI 53213
Milwaukee County (414) 454-6600
CHRISTINE S SCHULTZ-RODRIGUEZ
Social Worker (Clinical)
1220 DEWEY AVE
WAUWATOSA, WI 53213
Milwaukee County (414) 454-6707

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 Stacey Moore's NPI number?

The NPI number for Stacey Moore is 1225210206. It was assigned to this individual provider in the NPPES registry on November 30, 2007.

Where is Stacey Moore located?

Stacey Moore practices at 1220 Dewey Ave, Wauwatosa, WI 53213. The listed phone number is (414) 454-6600.

What is Stacey 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 Stacey Moore was last updated on November 30, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.