CRYSTAL RENEE MOORE (NPI# 1174969141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174969141 |
| Entity Type | Individual |
| Full Name | CRYSTAL RENEE MOORE |
| Practice Address |
421 Fairmount Ave Oakland CA 94611-5534 |
| Practice Telephone | 5108393769 |
| Mailing Telephone | 5108393769 |
| Enumeration Date | 2013-05-17 |
| Last Update Date | 2018-04-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386273753 | Crystal Wade Moore | Nurse Practitioner | 3940 Lowery Ln, Rocky Face, GA 30740-9756 | 2020-04-07 |
| 1003395617 | Crystal L Moore | Counselor | 8725 Point Dr, Tulsa, OK 74131-4028 | 2018-08-14 |
| 1033617675 | Crystal Chantel Moore | Licensed Practical Nurse | 2260 Par Ln, H 911, Willoughby Hills, OH 44094-2966 | 2018-01-29 |
| 1477084614 | Crystal Baxley Moore | Specialist | 105 East Broad St, Elizabethtown, NC 28337 | 2017-03-21 |
| 1063849586 | Crystal Lynn Moore | Pharmacist | 700 Merrywood Ln, Star City, AR 71667-5606 | 2013-09-29 |
| 1639411309 | Crystal Moore | Social Worker | 9 Roux 61 Dr Ste C, Natchez, MS 39120-2176 | 2013-03-20 |
| 1790319176 | Crystal Moore | Social Worker | 625 W Elm Ave, Hanover, PA 17331-5125 | 2020-02-25 |
| 1689235954 | Crystal Colleen Moore | Dental Hygienist | 2111 Champa St, Denver, CO 80205-2529 | 2019-06-26 |
| 1336704881 | Crystal A Moore | Counselor | 812 S Walnut St, Spokane, WA 99204-3326 | 2019-05-09 |
| 1821572330 | Crystal Moore | Registered Nurse | 3300 Healthplex Pkwy, Norman, OK 73072-9749 | 2018-09-20 |
| Street Address |
421 FAIRMOUNT AVE |
| City | OAKLAND |
| State | CA |
| Zip Code | 94611-5534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548471881 | Berkeley Place, Inc. | Community Based Residential Treatment Facility, Mental Illness | 421 Fairmount Ave, Oakland, CA 94611-5534 | 2007-05-25 |
| 1780240291 | Maribel Socorro Lopez | Marriage & Family Therapist | 421 Fairmount Ave, Oakland, CA 94611-5534 | 2019-05-10 |
| 1265997027 | Ruby Esther Goldberg | Counselor | 421 Fairmount Ave, Oakland, CA 94611-5534 | 2019-02-06 |
| 1508357815 | Kahlia Nichelle Hawkins | Marriage & Family Therapist | 421 Fairmount Ave, Oakland, CA 94611-5534 | 2018-05-22 |
| 1407231731 | Hasina Mae Crump | Counselor | 421 Fairmount Ave, Oakland, CA 94611-5534 | 2015-07-28 |
| 1780013342 | Tara Bredesen | Counselor | 421 Fairmount Ave, Oakland, CA 94611-5534 | 2013-11-04 |
| 1831436963 | Daniel Jesus-duprix Davis-hardin | Marriage & Family Therapist | 421 Fairmount Ave, Oakland, CA 94611-5534 | 2013-01-09 |
| 1760742563 | Allyson L Hurlburt | Counselor | 421 Fairmount Ave, Oakland, CA 94611-5534 | 2012-05-25 |
| 1376817007 | Jennifer Kim | Counselor | 421 Fairmount Ave, Oakland, CA 94611-5534 | 2012-02-27 |
| 1043587488 | Casa De La Vida | Community Based Residential Treatment Facility, Mental Illness | 421 Fairmount Ave, Oakland, CA 94611-5534 | 2011-11-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063028454 | Abduljabbar Alhammoud | Student in an Organized Health Care Education/Training Program | Kaiser Permanente Oakland Medical Center 275 W. Macarth, Oakland, CA 94611 | 2020-09-21 |
| 1184287435 | Unfold Psychology: A. Heafey Practice | Psychologist | 1955 Mountain Blvd., Suite 101, Oakland, CA 94611 | 2019-04-22 |
| 1700389699 | Katie Herron | Student in an Organized Health Care Education/Training Program | 2535 Harrison St., Oakland, CA 94611 | 2018-03-16 |
| 1861923351 | Hoiwan Cheung | Student in an Organized Health Care Education/Training Program | 3600 Broadway, 4th Fl., Suite 43, Kaiser Oakland, Oakland, CA 94611 | 2017-03-25 |
| 1104377126 | Collin Chan | Pharmacist | 3801 Howe Street, Fabiola G-25, Oakland, CA 94611 | 2016-10-14 |
| 1912457276 | Madeline Marie Perket | Registered Nurse | 933 Kingston Ave, Piedmont, CA 94611 | 2016-10-11 |
| 1962959460 | Healing Arts Chiropractic | Chiropractor | 187 40th Street Way, Oakland, CA 94611 | 2016-09-01 |
| 1033573829 | Diana Murphy | Counselor | 629 Oakland, Oakland, CA 94611 | 2016-04-08 |
| 1437515483 | Laura Northrup II | Marriage & Family Therapist | 3873 Piedmont Ave, Suite 5, Oakland, CA 94611 | 2016-01-06 |
| 1558736835 | Michael Joseph Scollard | Dentist | 42 Linda Ave., Oakland, CA 94611 | 2015-12-11 |
| Find all providers in zip 94611 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861008328 | Kathleen Day | Marriage & Family Therapist | 490 Lake Park Ave Unit 16027, Oakland, CA 94610-8039 | 2020-09-21 |
| 1487269031 | Philip A Tecau | Marriage & Family Therapist | 5120 Miles Ave, Oakland, CA 94618 | 2020-09-10 |
| 1619587219 | Katharine Cruz | Marriage & Family Therapist | 6408 Irwin Ct Apt 1, Oakland, CA 94609-1169 | 2020-08-07 |
| 1831708544 | Jennifer Sara Diamond | Marriage & Family Therapist | 5297 College Ave Ste 102, Oakland, CA 94618-1462 | 2020-07-28 |
| 1891312252 | Maya Ilana Attia | Marriage & Family Therapist | 6926 Chambers Dr, Oakland, CA 94611-1304 | 2020-07-01 |
| 1649894239 | Diana Christine Coleman | Marriage & Family Therapist | 6101 Broadway Ter, Oakland, CA 94618-2015 | 2020-05-30 |
| 1730701301 | Dot Center - Marriage and Family Therapy Inc. | Marriage & Family Therapist | 1624 Franklin St Ste 911, Oakland, CA 94612-2824 | 2020-05-17 |
| 1477173029 | Danielle Saunders | Marriage & Family Therapist | 3345 Grand Ave Ste 1, Oakland, CA 94610-2772 | 2020-04-23 |
| 1912534371 | Naomi Kimmelman | Marriage & Family Therapist | 3085 Capp St, Oakland, CA 94602-2703 | 2020-03-25 |
| 1346875200 | Jenner Bishop | Marriage & Family Therapist | 2938 Webster St # 200, Oakland, CA 94609-3407 | 2020-03-11 |
| Find all providers in OAKLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.