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DERRICK MOORE
NPI 1609469642
Counselor in Spokane Valley, WA

Active since February 19, 2021
14819 E MISSION AVE, SPOKANE VALLEY, WA 99216(509) 315-9791(509) 474-9612 Get Directions Write a Review

NPPES record last updated: February 19, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Derrick Moore NPPES

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

DERRICK MOORE (NPI 1609469642) is an individual counselor in Spokane Valley, Washington and active in the NPI registry since February 2021.

NPPES Registry Identity

NPI1609469642
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameDERRICK MOORE
Location Address14819 E MISSION AVESpokane Valley, WA 99216-1960
Mailing Address14819 E Mission AveSpokane Valley, WA 99216-1960 · (509) 315-9791 · Fax (509) 474-9612
Phone(509) 315-9791
Fax(509) 474-9612
Sole ProprietorNo
Enumeration DateFebruary 19, 2021
NPPES CertifiedFebruary 19, 2021
✔ NPI 1609469642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
14819 E MISSION AVE, Spokane Valley, WA 99216
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Other Providers at the Same Location NPPES 20

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

MS. TOSHA RANEE PICKELL
Counselor
14819 E MISSION AVE
SPOKANE VALLEY, WA 99216
Spokane County (509) 315-9791
KELLIE J. LYNNE SUDPT
Counselor (Addiction (Substance Use Disorder))
14819 E MISSION AVE
SPOKANE VALLEY, WA 99216
Spokane County (509) 315-9791
MR. JOSEPH MICHAEL DESTAVEN JR.
Behavior Technician
14819 E MISSION AVE
SPOKANE VALLEY, WA 99216
Spokane County (509) 915-9791
JEREMIAH MILLER
Counselor
14819 E MISSION AVE
SPOKANE VALLEY, WA 99216
Spokane County (509) 315-9791
HARLEY THON
Counselor
14819 E MISSION AVE
SPOKANE VALLEY, WA 99216
Spokane County (509) 315-9791
CHAMELLIA GRAHAM
Counselor (Addiction (Substance Use Disorder))
14819 E MISSION AVE
SPOKANE VALLEY, WA 99216
Spokane County (509) 315-9791
RAYMOND GLENN CRANDALL III CP61656010
Counselor (Addiction (Substance Use Disorder))
14819 E MISSION AVE
SPOKANE VALLEY, WA 99216
Spokane County (206) 566-2797
MR. ALEX EUGENE VANORDEN
Counselor (Addiction (Substance Use Disorder))
14819 E MISSION AVE
SPOKANE VALLEY, WA 99216
Spokane County (509) 919-8879

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 Derrick Moore's NPI number?

The NPI number for Derrick Moore is 1609469642. It was assigned to this individual provider in the NPPES registry on February 19, 2021.

Where is Derrick Moore located?

Derrick Moore practices at 14819 E Mission Ave, Spokane Valley, WA 99216. The listed phone number is (509) 315-9791.

What is Derrick Moore's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Derrick Moore was last updated on February 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.