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MR. SHANE M MOORE MPSS-DSNBAR
NPI 1689353427
Peer Specialist in Auburn, CA

Active since July 17, 2023
12183 LOCKSLEY LN STE 101, AUBURN, CA 95602(530) 885-1961 Get Directions Write a Review

NPPES record last updated: August 9, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 9, 2024, Aug 28, 2023, Jul 17, 2023 (3 updates tracked since 2023).

About Mr. Shane M Moore Mpss-dsnbar NPPES

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

MR. SHANE M MOORE MPSS-DSNBAR (NPI 1689353427) is an individual peer specialist in Auburn, California, licensed in California (MPSS-DANBAR) and active in the NPI registry since July 2023.

NPPES Registry Identity

NPI1689353427
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameMR. SHANE M MOORECredential: MPSS-DSNBAR
Location Address12183 LOCKSLEY LN STE 101Auburn, CA 95602-2050
Mailing Address12183 Locksley Ln Ste 101Auburn, CA 95602-2050 · (530) 885-1961
Phone(530) 885-1961
Sole ProprietorYes
Enumeration DateJuly 17, 2023
Last NPPES UpdateAugust 9, 20243 updates tracked since enumeration
NPPES CertifiedAugust 9, 2024
✔ NPI 1689353427 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in CA · MPSS-DANBAR
Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Also ListedCommunity Health WorkerTaxonomy 172V00000X
12183 LOCKSLEY LN STE 101, Auburn, CA 95602
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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.

TERESA S FLESCHUTE RADT
Counselor (Addiction (Substance Use Disorder))
12183 LOCKSLEY LN STE 101
AUBURN, CA 95602
Nevada County (530) 885-1961
MR. THOMAS EDWARD MAYS SR. NRDT
Counselor (Addiction (Substance Use Disorder))
12183 LOCKSLEY LN STE 101
AUBURN, CA 95602
Nevada County (530) 885-1961
MRS. LAURA LAGGE CADCII
Counselor (Addiction (Substance Use Disorder))
12183 LOCKSLEY LN STE 101
AUBURN, CA 95602
Nevada County (530) 885-1961
KEVIN PHILLIPS AMFT
Counselor (Addiction (Substance Use Disorder))
12183 LOCKSLEY LN STE 101
AUBURN, CA 95602
Nevada County (530) 885-1961
EAGLE RECOVERY PROGRAMS
Substance Abuse Rehabilitation Facility
12183 LOCKSLEY LN STE 101
AUBURN, CA 95602
Nevada County (530) 823-0777
KELLY BAZZANI
Counselor (Addiction (Substance Use Disorder))
12183 LOCKSLEY LN STE 101
AUBURN, CA 95602
Nevada County (530) 885-1961
ROSS LEVIN AMFT
Counselor (Addiction (Substance Use Disorder))
12183 LOCKSLEY LN STE 101
AUBURN, CA 95602
Nevada County (530) 878-5166
CHRISTIAN E COUTO RADT
Counselor (Addiction (Substance Use Disorder))
12183 LOCKSLEY LN STE 101
AUBURN, CA 95602
Nevada County (530) 885-1961

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 Shane Moore's NPI number?

The NPI number for Shane Moore is 1689353427. It was assigned to this individual provider in the NPPES registry on July 17, 2023.

Where is Shane Moore located?

Shane Moore practices at 12183 Locksley Ln Ste 101, Auburn, CA 95602. The listed phone number is (530) 885-1961.

What is Shane Moore's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Shane Moore was last updated on August 9, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.