DION RAY MOORE (NPI# 1336709054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336709054 |
| Entity Type | Individual |
| Full Name | DION RAY MOORE |
| Practice Address |
1601 2nd St Ste 104 San Rafael CA 94901-2701 |
| Practice Telephone | 4154549444 |
| Practice Fax Number | 4154549444 |
| Mailing Telephone | 4154549444 |
| Enumeration Date | 2019-06-14 |
| Last Update Date | 2019-06-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649882127 | Dion Abedemi Moore | Registered Nurse | 1100 New Jersey Ave Se Ste 845, Washington, DC 20003-3338 | 2020-08-17 |
| Street Address |
1601 2ND ST STE 104 |
| City | SAN RAFAEL |
| State | CA |
| Zip Code | 94901-2701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417238429 | James Albert Ricci | Counselor | 1601 2nd St Ste 104, San Rafael, CA 94901-2701 | 2011-09-02 |
| 1982230934 | Verna Ervin | Counselor | 1601 2nd St Ste 104, San Rafael, CA 94901-2701 | 2020-03-20 |
| 1275167744 | Miles Roberts | Counselor | 1601 2nd St Ste 104, San Rafael, CA 94901-2701 | 2020-02-24 |
| 1871153536 | Anthony Fregoso | Counselor | 1601 2nd St Ste 104, San Rafael, CA 94901-2701 | 2019-06-15 |
| 1619470234 | Dana Annmarie Cheatum | Counselor | 1601 2nd St Ste 104, San Rafael, CA 94901-2701 | 2018-03-09 |
| 1265930481 | Stacey Katz | Counselor | 1601 2nd St Ste 104, San Rafael, CA 94901 | 2018-01-23 |
| 1568900983 | Melvy Ramos | Case Manager/Care Coordinator | 1601 2nd St Ste 104, San Rafael, CA 94901-2701 | 2017-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780207134 | Marianne Haissman Stefancic | Marriage & Family Therapist | 409 Forbes Ave., San Rafael, CA 94901 | 2020-05-20 |
| 1093292765 | Marin Community Clinic | Clinic/Center | 411 4th Strteet, Suite A, San Rafael, CA 94901 | 2018-07-25 |
| 1275052516 | Laura Ellen Silverstein | Marriage & Family Therapist | 600 Fifth Avenue, San Rafael, CA 94901 | 2017-09-19 |
| 1689101107 | Marin Family Recovery | Clinic/Center | 1209 Third St. Ste 4, San Rafael, CA 94901 | 2017-05-15 |
| 1376070011 | Tencia Beavers-sanchez | Counselor | 710 C Street Suite#8, Marin Outpatient&recoveryservices, Sanrafael, CA 94901 | 2017-05-12 |
| 1326584905 | Jamie Waterman | Emergency Medical Technician, Basic | 675 Sir Francis Drake Blvd, Kentfield, CA 94901 | 2017-01-06 |
| 1295270676 | Stephen Marks | Counselor | 900 Fifth Avenue, Suite 150, ; San Rafael, CA 94901 | 2016-12-21 |
| 1497299812 | Vesna Sturman | Psychologist | 712 D St Ste L, San Rafael, CA 94901 | 2016-12-05 |
| 1063955771 | Carol Dutton Hollenberg | Behavior Technician | 503 D St., San Rafael, CA 94901 | 2016-11-29 |
| 1083069447 | Bay Area Community Resources | Community/Behavioral Health | 103 Shoreline Parkway, San Rafael, CA 94901 | 2016-05-04 |
| Find all providers in zip 94901 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912542457 | Stephen Lochrane Prince | Counselor | 10 N San Pedro Rd Ste 1015, San Rafael, CA 94903-4155 | 2019-11-07 |
| 1912463332 | Jenna Roth Ring | Counselor | 1005 Northgate Dr # 115, San Rafael, CA 94903-2500 | 2019-02-11 |
| 1194263228 | Daron Austin | Counselor | 710 C St Ste 8, San Rafael, CA 94901-3853 | 2017-02-09 |
| 1427507789 | Full Circle Addiction and Recovery Services | Counselor | 1104 Lincoln Ave, San Rafael, CA 94901-3245 | 2016-09-28 |
| 1750744637 | Karen Witt | Counselor | 110 Plymouth Cv, San Rafael, CA 94901-4461 | 2016-03-30 |
| 1952763724 | Donald Lee Merriam IIi | Counselor | 603 D Street, San Rafael, CA 94901 | 2016-03-22 |
| 1912367236 | Felipe Perez | Counselor | 710 C Street, Suite 7, San Rafael, CA 94901 | 2016-02-29 |
| 1568839926 | Jenna Kerler | Counselor | 22 San Pablo Ave Apt 2, San Rafael, CA 94903-4122 | 2015-09-01 |
| 1598159790 | James Paul Goss IIi | Counselor | 1005 A St Ste 209, San Rafael, CA 94901-3127 | 2015-03-25 |
| 1053702787 | Marin Outpatient Recovery Services | Counselor | 11 Albion St, San Rafael, CA 94901-5201 | 2015-02-17 |
| Find all providers in SAN RAFAEL | ||||
| City | SAN RAFAEL |
| Zip Code | 94901 |
Please comment or provide details below to improve the information on DION RAY MOORE.
| 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.