MRS. ALEXIS KAYBROOK MOORE (NPI# 1205461787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205461787 |
| Entity Type | Individual |
| Full Name | MRS. ALEXIS KAYBROOK MOORE |
| Other Name | ALEXIS KAYBROOK BERTSCH |
| Credential | MPH, CAAR |
| Practice Address |
403 W State St Ste 206 Aberdeen WA 98520-6140 |
| Practice Telephone | 3609860996 |
| Mailing Telephone | 3609860996 |
| Enumeration Date | 2020-03-05 |
| Last Update Date | 2020-03-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
CG61025586 | WA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962757484 | Alexis Kendall Moore | Dentist | 41253 12th St W Ste B, Palmdale, CA 93551-1413 | 2012-07-20 |
| 1346858875 | Alexis Moore | Behavior Technician | 3351 Aspen Grove Dr Ste 350, Franklin, TN 37067-2912 | 2020-07-21 |
| 1952964066 | Alexis Moore | Social Worker | 605 S Patterson Blvd, Dayton, OH 45402-2649 | 2019-04-16 |
| 1053874412 | Alexis Moore | Case Manager/Care Coordinator | 2000 Aldersgate Rd, Little Rock, AR 72205-7018 | 2019-04-11 |
| 1730616426 | Alexis Moore | Behavior Technician | 4440 S Eastern Ave, Las Vegas, NV 89119-7825 | 2017-05-12 |
| Street Address |
403 W STATE ST STE 206 |
| City | ABERDEEN |
| State | WA |
| Zip Code | 98520-6140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861938870 | Nikki Renee Hamilton | Counselor | 403 W State St Ste 206, Aberdeen, WA 98520-6140 | 2017-01-13 |
| 1609419894 | Jenni L Jones | Peer Specialist | 403 W State St Ste 206, Aberdeen, WA 98520-6140 | 2019-10-21 |
| 1780152546 | Brittany Nicole Hall | Case Manager/Care Coordinator | 403 W State St Ste 206, Aberdeen, WA 98520-6140 | 2018-11-08 |
| 1760973846 | Robert Moyer | Peer Specialist | 403 W State St Ste 206, Aberdeen, WA 98520-6140 | 2018-05-23 |
| 1922509900 | Cheryl Ann Boyer I | Peer Specialist | 403 W State St Ste 206, Aberdeen, WA 98520-6140 | 2018-02-23 |
| 1982102240 | Gabriel C Renville | Peer Specialist | 403 W State St Ste 206, Aberdeen, WA 98520-6140 | 2018-01-31 |
| 1205345329 | Gabriel Ash | Social Worker | 403 W State St Ste 206, Aberdeen, WA 98520-6140 | 2017-09-20 |
| 1578072617 | Riley Houser | Peer Specialist | 403 W State St Ste 206, Aberdeen, WA 98520-6140 | 2017-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740755354 | Wchs, Inc. | Clinic/Center | 516 East 1st Street, Aberdeen, WA 98520 | 2018-10-10 |
| 1518454180 | Katie Cutshaw | Counselor | 1700 Cherry Street, Suite C, Aberdeen, WA 98520 | 2018-04-18 |
| 1629587738 | Robert Williams | Counselor | Catholic Community Services, 403 West State Street, Suite 206, Aberdeen, WA 98520 | 2017-09-21 |
| 1174032296 | Amy D Tyler | Peer Specialist | 403 W State Street, Ste 206, Aberdeen, WA 98520 | 2017-09-20 |
| 1073032819 | Amanda Leona Franklin | Counselor | 2700 Simpson Ave, Suite 101, Aberdeen, WA 98520 | 2017-09-13 |
| 1184141152 | Chrystal Lynn Beckley | Counselor | 2700 Simpson Avenue Suite 101, Aberdeen, WA 98520 | 2017-08-29 |
| 1285158923 | Josh Butler | Technician/Technologist | 1718 Sumner Ave, Aberdeen, WA 98520 | 2017-08-02 |
| 1386165553 | Melvin Taylor | Counselor | 311 South I Street, Aberdeen, WA 98520 | 2017-06-28 |
| 1164870267 | Kelly Knittle | Counselor | 4820 She-nah-num Dr. Se, Olympia, WA 98520 | 2016-05-31 |
| 1437570249 | Aberdeen Therapy Works | Occupational Therapist | 100 S. I Street, Suite 205, Aberdeen, WA 98520 | 2013-12-20 |
| Find all providers in zip 98520 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699382002 | Empowerment Counseling, LLC | Counselor | 912 S Lawson St Apt 2, Aberdeen, SD 57401-6420 | 2020-09-29 |
| 1639789563 | Desire C Shores | Counselor | 2700 Simpson Ave Ste 100, Aberdeen, WA 98520-4335 | 2020-08-05 |
| 1952936593 | Phyllis R. Byrd | Counselor | 10185 Aberdeen Rd, Aberdeen, NC 28315-7739 | 2020-03-04 |
| 1548892672 | Anderson Therapy Group Pllc | Counselor | 104 W 4th St Ste 103, Aberdeen, WA 98520-3932 | 2020-02-06 |
| 1508317074 | Total Package Medspa LLC | Counselor | 1409 6th Ave Se Ste 5, Aberdeen, SD 57401-4950 | 2016-10-20 |
| 1932459658 | Dyneil D Moriarty | Counselor | 703 3rd Avenue Se, Aberdeen, SD 57401-4508 | 2012-09-11 |
| 1174809446 | Amanda Jean Lautenschlager | Counselor | 110 6th Ave Se Ste 200, Aberdeen, SD 57401-6266 | 2011-10-31 |
| 1790005361 | Annette Hulm | Counselor | 703 3rd Ave Se, Aberdeen, SD 57401-4508 | 2010-06-07 |
| 1265754253 | Cynthia Sprague | Counselor | 1403 Pannell Dr Apt H, Aberdeen, MD 21001 | 2010-02-18 |
| 1255660023 | Dawn M Richards | Counselor | 502 East Melgaard Rd., Aberdeen, SD 57401-2615 | 2009-12-08 |
| Find all providers in ABERDEEN | ||||
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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.