JACQUELINE K MOORE QMHS
NPI 1760934962
Case Manager/Care Coordinator in Canton, OH

Q: What is Jacqueline Moore's NPI number?

The NPI number for Jacqueline Moore is 1760934962. It was assigned to this individual provider in the NPPES registry on November 4, 2016.

Q: What is Jacqueline Moore's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Q: When was this NPI record last updated?

The NPPES record for Jacqueline Moore was last updated on June 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since November 04, 2016

625 CLEVELAND AVE NW, CANTON, OH 44702(330) 453-8252(330) 453-6716 Get Directions Write a Review

NPPES record last updated: June 21, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 21, 2018, Nov 4, 2016 (2 updates tracked since 2016).

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About Jacqueline K Moore Qmhs NPPES

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

JACQUELINE K MOORE QMHS (NPI 1760934962) is an individual case manager/care coordinator provider in Canton, Ohio and active in the NPI registry since November 2016.

NPPES Registry Identity

NPI1760934962

Entity TypeIndividualFemale

Primary Taxonomy171M00000X

Provider Legal NameJACQUELINE K MOORECredential: QMHS

Location Address625 CLEVELAND AVE NWCanton, OH 44702

Mailing Address625 Cleveland Ave NwCanton, OH 44702-1805 · (330) 455-0374 · Fax (330) 453-6716

Phone(330) 453-8252

Fax(330) 453-6716

Sole ProprietorNo

Enumeration DateNovember 4, 2016

Last NPPES UpdateJune 21, 20182 updates tracked since enumeration

✔ NPI 1760934962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

625 CLEVELAND AVE NW, Canton, OH 44702

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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.

DOUGLAS KEVIN STEVENS CNP

Nurse Practitioner (Psychiatric/Mental Health)