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KEVIN JEWAYNE MOORE
NPI 1710551510
Counselor - Addiction (Substance Use Disorder) in Benton Harbor, MI

Active since May 17, 2021
1485 M 139, BENTON HARBOR, MI 49022(269) 925-0585(269) 927-1326 Get Directions Write a Review

NPPES record last updated: May 17, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kevin Jewayne Moore NPPES

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

KEVIN JEWAYNE MOORE (NPI 1710551510) is an individual addiction (substance use disorder) provider in Benton Harbor, Michigan and active in the NPI registry since May 2021.

NPPES Registry Identity

NPI1710551510
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameKEVIN JEWAYNE MOORE
Location Address1485 M 139Benton Harbor, MI 49022-5711
Mailing Address1485 M 139Benton Harbor, MI 49022-5711 · (269) 925-0585 · Fax (269) 927-1326
Phone(269) 925-0585
Fax(269) 927-1326
Sole ProprietorNo
Enumeration DateMay 17, 2021
NPPES CertifiedMay 17, 2021
✔ NPI 1710551510 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
1485 M 139, Benton Harbor, MI 49022
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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.

JACQUELINE R BONARDI
Counselor (Mental Health)
1485 M 139
BENTON HARBOR, MI 49022
Berrien County (269) 925-0585
MS. AMBER KAY FERGISON
Social Worker (Clinical)
1485 M 139
BENTON HARBOR, MI 49022
Berrien County (269) 925-0585
SAMUEL SAINT-PHARD
Behavior Technician
1485 M 139
BENTON HARBOR, MI 49022
Berrien County (269) 925-0585
APRIL K REYBUCK RN
Registered Nurse (Psychiatric/Mental Health)
1485 M 139
BENTON HARBOR, MI 49022
Berrien County (269) 925-0585
GENOA HEALTHCARE LLC
Pharmacy (Long Term Care Pharmacy)
1485 M 139
BENTON HARBOR, MI 49022
Berrien County (269) 934-0119
SHANIYA HINES
Peer Specialist
1485 M 139
BENTON HARBOR, MI 49022
Berrien County (269) 985-0585
THERESE ZITTA
Occupational Therapist
1485 M 139
BENTON HARBOR, MI 49022
Berrien County (269) 925-0585
MR. DAVID ANDREW LAWRENCE MSW
Social Worker
1485 M 139
BENTON HARBOR, MI 49022
Berrien County (269) 925-0585

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 Kevin Moore's NPI number?

The NPI number for Kevin Moore is 1710551510. It was assigned to this individual provider in the NPPES registry on May 17, 2021.

Where is Kevin Moore located?

Kevin Moore practices at 1485 M 139, Benton Harbor, MI 49022. The listed phone number is (269) 925-0585.

What is Kevin 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 Kevin Moore was last updated on May 17, 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.