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DENVER SCOTT MOORE CDCA
NPI 1811539620
Counselor - Addiction (Substance Use Disorder) in Massillon, OH

Active since October 14, 2019
1680 NAVE RD SE, MASSILLON, OH 44646(308) 308-7403(330) 830-0912 Get Directions Write a Review

NPPES record last updated: September 24, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 24, 2021, Nov 20, 2020, Oct 14, 2019 (3 updates tracked since 2019).

About Denver Scott Moore Cdca NPPES

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

DENVER SCOTT MOORE CDCA (NPI 1811539620) is an individual addiction (substance use disorder) provider in Massillon, Ohio, licensed in Ohio (CDCA175000) and active in the NPI registry since October 2019.

NPPES Registry Identity

NPI1811539620
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameDENVER SCOTT MOORECredential: CDCA
Location Address1680 NAVE RD SEMassillon, OH 44646-9604
Mailing Address625 Cleveland Ave NwCanton, OH 44702 · (330) 455-0374 · Fax (330) 453-6716
Phone(308) 308-7403
Fax(330) 830-0912
Sole ProprietorNo
Enumeration DateOctober 14, 2019
Last NPPES UpdateSeptember 24, 20213 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2021
✔ NPI 1811539620 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 · CDCA175000
1680 NAVE RD SE, Massillon, OH 44646
Open in Google Maps ↗

Other Identifiers 1

Medicaid0374674OH

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.

KELLY KATHLEEN MCCARTHY LCDCII
Counselor (Addiction (Substance Use Disorder))
1680 NAVE RD SE
MASSILLON, OH 44646
Stark County (330) 830-8740
MRS. JENNIFER S JINKS RN
Registered Nurse
1680 NAVE RD SE
MASSILLON, OH 44646
Stark County (330) 830-8740
PATRICIA ANNE HAYES LPN
Licensed Practical Nurse
1680 NAVE RD SE
MASSILLON, OH 44646
Stark County (330) 830-8740
REBECCA M AJAH MSW, LISW
Social Worker (Clinical)
1680 NAVE RD SE
MASSILLON, OH 44646
Stark County (330) 830-8740
TIFFANY MARIE STEPHAN LPC
Counselor (Mental Health)
1680 NAVE RD SE
MASSILLON, OH 44646
Stark County (330) 830-8740
MATTHEW ROBERT BELL CDCA, PRS
Counselor (Addiction (Substance Use Disorder))
1680 NAVE RD SE
MASSILLON, OH 44646
Stark County (330) 830-8740
SHANIA M ALLEY CDCA
Counselor (Addiction (Substance Use Disorder))
1680 NAVE RD SE
MASSILLON, OH 44646
Stark County (330) 830-8740
ANGELA J HERNANDEZ LCDCIII
Counselor (Addiction (Substance Use Disorder))
1680 NAVE RD SE
MASSILLON, OH 44646
Stark County (330) 830-8740

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 Denver Moore's NPI number?

The NPI number for Denver Moore is 1811539620. It was assigned to this individual provider in the NPPES registry on October 14, 2019.

Where is Denver Moore located?

Denver Moore practices at 1680 Nave Rd SE, Massillon, OH 44646. The listed phone number is (308) 308-7403.

What is Denver 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 Denver Moore was last updated on September 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.