PATRICIA ANN MOORE CDP
NPI 1467771436
Counselor - Addiction (Substance Use Disorder) in Olympia, WA

Active since May 28, 2010
200 LILLY RD NE STE C, OLYMPIA, WA 98506(360) 918-8336(360) 972-2152 Get Directions Write a Review

NPPES record last updated: March 26, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Patricia Ann Moore Cdp NPPES

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

PATRICIA ANN MOORE CDP (NPI 1467771436) is an individual addiction (substance use disorder) provider in Olympia, Washington, licensed in Washington (CP60119738) and active in the NPI registry since May 2010.

NPPES Registry Identity

NPI1467771436
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NamePATRICIA ANN MOORECredential: CDP
Location Address200 LILLY RD NE STE COlympia, WA 98506-5080
Mailing Address200 Lilly Rd NeOlympia, WA 98506-5427 · (360) 918-8336 · Fax (360) 972-2152
Fax(360) 972-2152
Sole ProprietorYes
Enumeration DateMay 28, 2010
Last NPPES UpdateMarch 26, 2021
NPPES CertifiedMarch 26, 2021
NPI 1467771436 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 WA · CP60119738
200 LILLY RD NE STE C, Olympia, WA 98506

Other Identifiers 1

Medicaid2115178WA

Other Providers at the Same Location NPPES 15

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

Case Manager/Care Coordinator
200 LILLY RD NE STE C
OLYMPIA, WA 98506
Counselor (Addiction (Substance Use Disorder))
200 LILLY RD NE STE C
OLYMPIA, WA 98506
Case Manager/Care Coordinator
200 LILLY RD NE STE C
OLYMPIA, WA 98506
Nurse Practitioner (Psychiatric/Mental Health)
200 LILLY RD NE STE C
OLYMPIA, WA 98506
Counselor (Mental Health)
200 LILLY RD NE STE C
OLYMPIA, WA 98506
Counselor (Addiction (Substance Use Disorder))
200 LILLY RD NE STE C
OLYMPIA, WA 98506
Counselor (Addiction (Substance Use Disorder))
200 LILLY RD NE STE C
OLYMPIA, WA 98506
Nurse Practitioner (Family)
200 LILLY RD NE STE C
OLYMPIA, WA 98506

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 Patricia Moore's NPI number?

The NPI number for Patricia Moore is 1467771436. It was assigned to this individual provider in the NPPES registry on May 28, 2010.

Where is Patricia Moore located?

Patricia Moore practices at 200 Lilly Rd NE Ste C, Olympia, WA 98506. The listed phone number is (360) 918-8336.

What is Patricia 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 Patricia Moore was last updated on March 26, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.