MR. TONY CURTIS MOORE CADC,CCS
NPI 1689840332
Counselor - Addiction (Substance Use Disorder) in Kenosha, WI

Active since May 02, 2008PECOS Enrolled
6723 17TH AVE, KENOSHA, WI 53143(262) 605-8442(262) 605-8460 Get Directions Write a Review

NPPES record last updated: May 2, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Tony Curtis Moore Cadc,ccs NPPES

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

MR. TONY CURTIS MOORE CADC,CCS (NPI 1689840332) is an individual addiction (substance use disorder) provider in Kenosha, Wisconsin, licensed in Wisconsin (13313-135) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689840332
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. TONY CURTIS MOORECredential: CADC,CCS
Location Address6723 17TH AVEKenosha, WI 53143-4914
Mailing Address6723 17th AveKenosha, WI 53143-4914 · (262) 605-8442 · Fax (262) 605-8460
Fax(262) 605-8460
Sole ProprietorNo
Enumeration DateMay 2, 2008
NPI 1689840332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in WI · 13313-135
Also ListedCounselorTaxonomy 101Y00000X · License 10820-132 (WI)
6723 17TH AVE, Kenosha, WI 53143

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. Tony Curtis Moore Cadc,ccs is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Tony Moore's NPI number?

The NPI number for Tony Moore is 1689840332. It was assigned to this individual provider in the NPPES registry on May 2, 2008.

Where is Tony Moore located?

Tony Moore practices at 6723 17th Ave, Kenosha, WI 53143. The listed phone number is (262) 605-8442.

What is Tony Moore's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Tony Moore enrolled in Medicare?

Yes. Tony Moore is registered in the Medicare PECOS enrollment system.

What insurance does Tony Moore accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Medica, Network Health and Providence Health Plan and 1 other insurer list Tony Moore as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tony Moore was last updated on May 2, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.