CHARRA MONYAE MOORE
NPI 1376333658
Counselor - Addiction (Substance Use Disorder) in West Haven, CT

Active since May 09, 2025PECOS Enrolled
184 FRONT AVE, WEST HAVEN, CT 06516(203) 781-4600(203) 781-4624 Get Directions Write a Review

NPPES record last updated: July 11, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 11, 2025, May 9, 2025 (2 updates tracked since 2025).

About Charra Monyae Moore NPPES

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

CHARRA MONYAE MOORE (NPI 1376333658) is an individual addiction (substance use disorder) provider in West Haven, Connecticut and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Hamden, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1376333658
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameCHARRA MONYAE MOORE
Location Address184 FRONT AVEWest Haven, CT 06516-2836
Mailing Address740 Mix Ave Unit 403Hamden, CT 06514-2286 · (475) 321-6717
Fax(203) 781-4624
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateMay 9, 2025
Last NPPES UpdateJuly 11, 20252 updates tracked since enumeration
NPPES CertifiedJuly 11, 2025
✔ NPI 1376333658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Also ListedCounselorTaxonomy 101Y00000X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
184 FRONT AVE, West Haven, CT 06516

Secondary Practice Location 1

Location 1740 Mix Ave Unit 403Hamden, CT 06514-2286 · Phone (475) 321-6717

Other Identifiers 4

Medicaid008068749CT
Medicaid008068669CT
Medicaid008068631CT
Medicaid008068298CT

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charra Monyae Moore is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1557828886
PECOS Enrollment IDI20260806003156
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Charra Moore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinic/Center
1 LONG WHARF DR
New Haven, CT 06511
  • Reassigned Medicare billing, Connecticut enrollment
  • 43 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Licensed Practical Nurse
184 FRONT AVE
WEST HAVEN, CT 06516
Counselor (Addiction (Substance Use Disorder))
184 FRONT AVE
WEST HAVEN, CT 06516
Psychiatry & Neurology (Psychiatry)
184 FRONT AVE
WEST HAVEN, CT 06516
Counselor (Addiction (Substance Use Disorder))
184 FRONT AVE
WEST HAVEN, CT 06516
Licensed Practical Nurse
184 FRONT AVE
WEST HAVEN, CT 06516
Licensed Practical Nurse
184 FRONT AVE
WEST HAVEN, CT 06516
Clinic/Center (Adult Mental Health)
184 FRONT AVE
WEST HAVEN, CT 06516
Clinic/Center
184 FRONT AVE
WEST HAVEN, CT 06516

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 Charra Moore's NPI number?

The NPI number for Charra Moore is 1376333658. It was assigned to this individual provider in the NPPES registry on May 9, 2025.

Where is Charra Moore located?

Charra Moore practices at 184 Front Ave, West Haven, CT 06516. The listed phone number is (203) 781-4600.

What is Charra Moore's specialty?

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

Is Charra Moore enrolled in Medicare?

Yes. Charra Moore is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Charra Moore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charra Moore reassigns Medicare benefits to Apt Foundation, Inc (New Haven, CT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Charra Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Charra Moore was last updated on July 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.