STACEY L MOORE (NPI# 1225210206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225210206 |
| Entity Type | Individual |
| Full Name | STACEY L MOORE |
| Credential | LPC |
| Practice Address |
1220 Dewey Ave Wauwatosa WI 53213-2504 |
| Practice Telephone | 4144546600 |
| Practice Fax Number | 4144546450 |
| Mailing Telephone | 4144546600 |
| Mailing Fax Number | 4144546450 |
| Enumeration Date | 2007-11-30 |
| Last Update Date | 2007-11-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
3571 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 40995500 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558872341 | Stacey Brigham Moore | Day Training, Developmentally Disabled Services | 4321 Nw State Road 270, Bristol, FL 32321-2303 | 2017-10-19 |
| 1184153553 | Stacey Hurst Moore | Counselor | 4020 Richards Rd Ste F, North Little Rock, AR 72117-2744 | 2017-06-08 |
| 1386075331 | Stacey Moore | Dietitian, Registered | 5124 Roemer Lane, Sacramento, CA 95820-3033 | 2013-12-02 |
| 1942310404 | Stacey Moore | Pharmacist | 2418 Sylvester Rd, Albany, GA 31705-2468 | 2006-08-30 |
| 1265085237 | Stacey Moore | Social Worker | 719 Thompson Ln Ste 30330, Nashville, TN 37204-4701 | 2019-07-18 |
| 1457837452 | Stacey D Moore | Dental Hygienist | 6850 Upper Box Elder Rd, Box Elder, MT 59521-9073 | 2018-07-13 |
| 1184079873 | Stacey Marie Moore | Counselor | 1509 Maple St, Scranton, PA 18505-2707 | 2016-04-29 |
| 1174913297 | Stacey Moore | Massage Therapist | 440 Columbia Blvd, Saint Helens, OR 97051-1910 | 2015-01-27 |
| 1982887493 | Stacey Denise Moore | Surgery | 1550 First Colony Blvd, Sugar Land, TX 77479-4000 | 2007-12-07 |
| 1275684268 | Stacey J Moore | Registered Nurse | 1955 Dixie Hwy, Ste C, Ft Wright, KY 41011-2792 | 2007-01-16 |
| Street Address |
1220 DEWEY AVE |
| City | WAUWATOSA |
| State | WI |
| Zip Code | 53213-2504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083696736 | Ikar Jaksa Kalogjera | Psychiatry & Neurology | 1220 Dewey Ave, Wauwatosa, WI 53213-2504 | 2005-11-17 |
| 1407464118 | Geoffrey B Watters | Nurse Practitioner | 1220 Dewey Ave, Wauwatosa, WI 53213-2504 | 2020-07-20 |
| 1497381818 | Frances Clouse | Pharmacist | 1220 Dewey Ave, Wauwatosa, WI 53213-2504 | 2020-03-17 |
| 1851939623 | Kathleen Grace Barnes | Physician Assistant | 1220 Dewey Ave, Wauwatosa, WI 53213-2504 | 2019-12-12 |
| 1952951402 | Christine D Schubring | Nurse Practitioner | 1220 Dewey Ave, Wauwatosa, WI 53213-2504 | 2019-09-17 |
| 1043864242 | Brooke E Muggenthaler | Counselor | 1220 Dewey Ave, Wauwatosa, WI 53213-2504 | 2019-07-26 |
| 1225510001 | Reuel Kagamba Muiruri | Nurse Practitioner | 1220 Dewey Ave, Wauwatosa, WI 53213-2504 | 2018-08-29 |
| 1437638830 | Lori L Unger | Registered Nurse | 1220 Dewey Ave, Wauwatosa, WI 53213-2504 | 2018-08-07 |
| 1033697644 | Christine S Schultz | Social Worker | 1220 Dewey Ave, Wauwatosa, WI 53213-2504 | 2018-08-06 |
| 1205335957 | Ivana Spaciel | Nurse Practitioner | 1220 Dewey Ave, Wauwatosa, WI 53213-2504 | 2018-02-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932682473 | Tracy A Bolton | Nurse Practitioner | 2626 N 76th St Ste 101, Wauwatosa, WI 53213 | 2018-09-11 |
| 1609309129 | Anupriya Dayal | Student in an Organized Health Care Education/Training Program | 7700 Portland Avenue, #227, Milwaukee, WI 53213 | 2017-04-11 |
| 1407202666 | Michael Lenz | Dentist | 1221 N 62nd Street, 201, Wauwatosa, WI 53213 | 2016-05-06 |
| 1164807889 | Myia Mitchell | Massage Therapist | 6012 W. North Avenue, Milwaukee, WI 53213 | 2015-07-23 |
| 1518369420 | Rachel Rakow | Speech-Language Pathologist | 1009 N 92nd St, Wauwatosa, WI 53213 | 2014-09-23 |
| 1821348335 | Mary Kathryn Maxey | Dietitian, Registered | 1515 Mower Court, Wauwatosa, WI 53213 | 2012-09-12 |
| 1134478506 | Andrea Brooke Moosreiner | Dietitian, Registered | 7220 Milwaukee Ave, Wauwatosa, WI 53213 | 2012-08-31 |
| 1467726075 | Stephanie Miller | Social Worker | 2618 N 61st St, Milwaukee, WI 53213 | 2012-02-28 |
| 1396013447 | Ng Enterprise, Inc. | Home Health | 7635 West Bluemound Road, Suite 1b, Milwaukee, WI 53213 | 2011-12-05 |
| 1184908162 | Lisa Anne Behlmer | Pharmacist | 6600 W. State St, Wauwatosa, WI 53213 | 2011-10-07 |
| Find all providers in zip 53213 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265066260 | Lisa Marie Zwagerman | Counselor | 1434 N 122nd St, Wauwatosa, WI 53226-3122 | 2020-02-27 |
| 1013461573 | Michael Richard Kiel | Counselor | 3636 N 124th St Ste 300, Wauwatosa, WI 53222-2125 | 2016-08-12 |
| 1346652153 | Kristin Michelle Walker | Counselor | 2222 N Mayfair Rd Ste 120, Wauwatosa, WI 53226-2262 | 2014-05-28 |
| 1619301355 | Matthew T Vahl | Counselor | 1033 N Mayfair Rd Ste 305, Wauwatosa, WI 53226-3442 | 2013-08-29 |
| 1710221726 | Judy Stevens | Counselor | 1011 N Mayfair Rd Ste 101, Wauwatosa, WI 53226-3431 | 2012-11-15 |
| 1902119753 | Totty & Associates | Counselor | 7251 W. North Avenue, Suite 1, Wauwatosa, WI 53213 | 2010-07-22 |
| 1992941942 | Sarah R Wolf | Counselor | 1233 N Mayfair Rd Ste 206, Wauwatosa, WI 53226-3255 | 2008-12-22 |
| 1073614483 | Christine Anne Brudnicki | Counselor | 3800 N Mayfair Road, Wauwatosa, WI 53222-2213 | 2006-09-26 |
| 1871602870 | Janice Elaine Lieber | Counselor | 1220 Dewey Avenue, Wauwatosa, WI 53213-2504 | 2006-08-30 |
| 1154356095 | Tamara Marie Makhlouf | Counselor | 3015 N 114th St, Wauwatosa, WI 53222-4208 | 2006-07-11 |
| Find all providers in WAUWATOSA | ||||
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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.