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NICOLE J. MOORE CDCA
NPI 1326866435
Counselor - Addiction (Substance Use Disorder) in Painesville, OH

Active since September 27, 2024
134 S SAINT CLAIR ST, PAINESVILLE, OH 44077(440) 255-0678 Get Directions Write a Review

NPPES record last updated: September 27, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nicole J. Moore Cdca NPPES

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

NICOLE J. MOORE CDCA (NPI 1326866435) is an individual addiction (substance use disorder) provider in Painesville, Ohio, licensed in Ohio (CDCA.188106) and active in the NPI registry since September 2024.

NPPES Registry Identity

NPI1326866435
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameNICOLE J. MOORECredential: CDCA
Location Address134 S SAINT CLAIR STPainesville, OH 44077-3421
Mailing Address29680 Phillips AveWickliffe, OH 44092-2210 · (216) 832-4607
Phone(440) 255-0678
Sole ProprietorYes
Enumeration DateSeptember 27, 2024
NPPES CertifiedSeptember 27, 2024
✔ NPI 1326866435 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 OH · CDCA.188106
134 S SAINT CLAIR ST, Painesville, OH 44077
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

EVARISTO FERNANDEZ
Counselor (Mental Health)
134 S SAINT CLAIR ST
PAINESVILLE, OH 44077
Lake County (440) 205-2686
JESSICA L CHAPMAN
Social Worker
134 S SAINT CLAIR ST
PAINESVILLE, OH 44077
Lake County (440) 205-2686
JENNIFER LANNING PRS
Counselor (Addiction (Substance Use Disorder))
134 S SAINT CLAIR ST
PAINESVILLE, OH 44077
Lake County (440) 276-0514
STACEY MARKELONIS
Counselor (Addiction (Substance Use Disorder))
134 S SAINT CLAIR ST
PAINESVILLE, OH 44077
Lake County (440) 255-0678

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 Nicole Moore's NPI number?

The NPI number for Nicole Moore is 1326866435. It was assigned to this individual provider in the NPPES registry on September 27, 2024.

Where is Nicole Moore located?

Nicole Moore practices at 134 S Saint Clair St, Painesville, OH 44077. The listed phone number is (440) 255-0678.

What is Nicole Moore's specialty?

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

When was this NPI record last updated?

The NPPES record for Nicole Moore was last updated on September 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.