JOSEY RAE ANTHONY-MOORE CRM,CADC-R
NPI 1265322093
Peer Specialist in Gresham, OR

Active since July 03, 2025
21440 SE STARK ST, GRESHAM, OR 97030(971) 703-4623 Get Directions Write a Review

NPPES record last updated: July 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Josey Rae Anthony-moore Crm,cadc-r NPPES

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

JOSEY RAE ANTHONY-MOORE CRM,CADC-R (NPI 1265322093) is an individual peer specialist in Gresham, Oregon, licensed in Oregon (25-CRM-4052) and active in the NPI registry since July 2025.

NPPES Registry Identity

NPI1265322093
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameJOSEY RAE ANTHONY-MOORECredential: CRM,CADC-R
Location Address21440 SE STARK STGresham, OR 97030-2024
Mailing Address11010 Se Division St Ste 11104sePortland, OR 97266-6400 · (971) 703-4623
Sole ProprietorNo
Enumeration DateJuly 3, 2025
NPPES CertifiedJuly 3, 2025
NPI 1265322093 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License Licensed in OR · 25-CRM-4052
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
21440 SE STARK ST, Gresham, OR 97030

Other Providers at the Same Location NPPES 12

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

Peer Specialist
21440 SE STARK ST
GRESHAM, OR 97030
Counselor (Addiction (Substance Use Disorder))
21440 SE STARK ST
GRESHAM, OR 97030
Peer Specialist
21440 SE STARK ST
GRESHAM, OR 97030
Counselor (Mental Health)
21440 SE STARK ST
GRESHAM, OR 97030
Counselor (Addiction (Substance Use Disorder))
21440 SE STARK ST
GRESHAM, OR 97030
Counselor (Addiction (Substance Use Disorder))
21440 SE STARK ST
GRESHAM, OR 97030
Peer Specialist
21440 SE STARK ST
GRESHAM, OR 97030
Counselor (Addiction (Substance Use Disorder))
21440 SE STARK ST
GRESHAM, OR 97030

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 Josey Anthony-moore's NPI number?

The NPI number for Josey Anthony-moore is 1265322093. It was assigned to this individual provider in the NPPES registry on July 3, 2025.

Where is Josey Anthony-moore located?

Josey Anthony-moore practices at 21440 SE Stark St, Gresham, OR 97030. The listed phone number is (971) 703-4623.

What is Josey Anthony-moore's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Josey Anthony-moore was last updated on July 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.