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KEITH BROOKS MOONEY CDCA
NPI 1619513165
Counselor - Addiction (Substance Use Disorder) in Canton, OH

Active since November 20, 2019
811 FAIRCREST ST SW, CANTON, OH 44706(330) 639-4408(330) 639-4436 Get Directions Write a Review

NPPES record last updated: November 20, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Keith Brooks Mooney Cdca NPPES

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

KEITH BROOKS MOONEY CDCA (NPI 1619513165) is an individual addiction (substance use disorder) provider in Canton, Ohio, licensed in Ohio (CDCA171463) and active in the NPI registry since November 2019.

NPPES Registry Identity

NPI1619513165
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameKEITH BROOKS MOONEYCredential: CDCA
Location Address811 FAIRCREST ST SWCanton, OH 44706-4844
Mailing Address625 Cleveland Ave NwCanton, OH 44702-1805 · (330) 455-0374 · Fax (330) 453-6716
Phone(330) 639-4408
Fax(330) 639-4436
Sole ProprietorNo
Enumeration DateNovember 20, 2019
✔ NPI 1619513165 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 · CDCA171463
811 FAIRCREST ST SW, Canton, OH 44706
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Other Providers at the Same Location NPPES 7

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

MR. RYAN ALLEN FERGUSON LPCC, LICDC
Counselor (Professional)
811 FAIRCREST ST SW
CANTON, OH 44706
Stark County (330) 639-4408
DARTANYON CHANDLER CDCA
Counselor (Addiction (Substance Use Disorder))
811 FAIRCREST ST SW
CANTON, OH 44706
Stark County (330) 639-4408
VIVIAN C MILLER-MEACHAM CT
Counselor
811 FAIRCREST ST SW
CANTON, OH 44706
Stark County (330) 639-4408
SYLVESTER M. HUSTON,III LSW, CDCA
Social Worker
811 FAIRCREST ST SW
CANTON, OH 44706
Stark County (330) 639-4408
SAVANNAH R COURTENAY LMSW
Social Worker
811 FAIRCREST ST SW
CANTON, OH 44706
Stark County (330) 639-4408
KELLY ANN MCCOY CDCA
Counselor (Addiction (Substance Use Disorder))
811 FAIRCREST ST SW
CANTON, OH 44706
Stark County (330) 639-4408
MARIA E HARRISON LPCC
Counselor (Professional)
811 FAIRCREST ST SW
CANTON, OH 44706
Stark County (330) 639-4408

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 Keith Mooney's NPI number?

The NPI number for Keith Mooney is 1619513165. It was assigned to this individual provider in the NPPES registry on November 20, 2019.

Where is Keith Mooney located?

Keith Mooney practices at 811 Faircrest St SW, Canton, OH 44706. The listed phone number is (330) 639-4408.

What is Keith Mooney'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 Keith Mooney was last updated on November 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.