CARRIE RENAE MOORE SAC-IT
NPI 1508684804
Counselor - Addiction (Substance Use Disorder) in Kenosha, WI

Active since September 26, 2024
6321 23RD AVE, KENOSHA, WI 53143(262) 671-1625(866) 719-3024 Get Directions Write a Review

NPPES record last updated: October 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Carrie Renae Moore Sac-it NPPES

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

CARRIE RENAE MOORE SAC-IT (NPI 1508684804) is an individual addiction (substance use disorder) provider in Kenosha, Wisconsin, licensed in Wisconsin (20205-130) and active in the NPI registry since September 2024.

NPPES Registry Identity

NPI1508684804
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameCARRIE RENAE MOORECredential: SAC-IT
Location Address6321 23RD AVEKenosha, WI 53143-4805
Mailing Address1826 N Main StRacine, WI 53402-4711 · (262) 752-8659
Fax(866) 719-3024
Sole ProprietorYes
Enumeration DateSeptember 26, 2024
Last NPPES UpdateOctober 29, 2024
NPPES CertifiedOctober 29, 2024
NPI 1508684804 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 WI · 20205-130
6321 23RD AVE, Kenosha, WI 53143

Other Providers at the Same Location NPPES 2

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

Counselor (Professional)
6321 23RD AVE
KENOSHA, WI 53143
Social Worker
6321 23RD AVE
KENOSHA, WI 53143

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 Carrie Moore's NPI number?

The NPI number for Carrie Moore is 1508684804. It was assigned to this individual provider in the NPPES registry on September 26, 2024.

Where is Carrie Moore located?

Carrie Moore practices at 6321 23rd Ave, Kenosha, WI 53143. The listed phone number is (262) 671-1625.

What is Carrie 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 Carrie Moore was last updated on October 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.