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STEPHANIE MOORE MA, CADC, CTP
NPI 1912543497
Counselor - Addiction (Substance Use Disorder) in Tama, IA

Active since November 20, 2019
1646 305TH ST, TAMA, IA 52339(641) 484-9482(641) 484-9477 Get Directions Write a Review

NPPES record last updated: February 2, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 2, 2022, Nov 20, 2019 (2 updates tracked since 2019).

About Stephanie Moore Ma, Cadc, Ctp NPPES

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

STEPHANIE MOORE MA, CADC, CTP (NPI 1912543497) is an individual addiction (substance use disorder) provider in Tama, Iowa, licensed in Iowa (19016) and active in the NPI registry since November 2019.

NPPES Registry Identity

NPI1912543497
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameSTEPHANIE MOORECredential: MA, CADC, CTP
Location Address1646 305TH STTama, IA 52339-9698
Mailing Address1646 305th StTama, IA 52339-9698 · (641) 484-9482 · Fax (641) 484-9477
Phone(641) 484-9482
Fax(641) 484-9477
Sole ProprietorNo
Enumeration DateNovember 20, 2019
Last NPPES UpdateFebruary 2, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 2, 2022
✔ NPI 1912543497 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 IA · 19016
1646 305TH ST, Tama, IA 52339
Open in Google Maps ↗

Other Identifiers 1

Medicaid0074575IA

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LOU ANN MITCHELL M.D
Family Medicine
1646 305TH ST
TAMA, IA 52339
Tama County (641) 484-4094
ALICIA D BARRON ARNP
Nurse Practitioner (Family)
1646 305TH ST
TAMA, IA 52339
Tama County (641) 484-4094
MRS. SARA NICOLE AUGSPURGER RN
Registered Nurse
1646 305TH ST
TAMA, IA 52339
Tama County (641) 484-4094
MEGAN MARIE KOEHN RDN, LD
Dietitian, Registered
1646 305TH ST
TAMA, IA 52339
Tama County (641) 484-4094
SAC & FOX TRIBE OF THE MISS IN IOWA
Dentist (General Practice)
1646 305TH ST
TAMA, IA 52339
Tama County (641) 484-4094
MR. RANDALL W INHELDER MSW
Counselor (Addiction (Substance Use Disorder))
1646 305TH ST
TAMA, IA 52339
Tama County (641) 484-9447
DR. CINDY ELAINE NIELSEN DO
Family Medicine
1646 305TH ST
TAMA, IA 52339
Tama County (641) 484-4094
NICOLE ELIZABETH PETERSON ARNP
Nurse Practitioner (Gerontology)
1646 305TH ST
TAMA, IA 52339
Tama County (641) 484-4094

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 Stephanie Moore's NPI number?

The NPI number for Stephanie Moore is 1912543497. It was assigned to this individual provider in the NPPES registry on November 20, 2019.

Where is Stephanie Moore located?

Stephanie Moore practices at 1646 305th St, Tama, IA 52339. The listed phone number is (641) 484-9482.

What is Stephanie 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 Stephanie Moore was last updated on February 2, 2022. 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.