KASTINA RAE MOORE (NPI# 1710524160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710524160 |
| Entity Type | Individual |
| Full Name | KASTINA RAE MOORE |
| Practice Address |
2000 Traffic Way Atascadero CA 93422-1523 |
| Mailing Address |
2049 Riverside Ave Apt 3 Paso Robles CA 93446-1767 |
| Practice Telephone | 8054644660 |
| Mailing Telephone | 8057695523 |
| Enumeration Date | 2019-12-04 |
| Last Update Date | 2019-12-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
2000 TRAFFIC WAY |
| City | ATASCADERO |
| State | CA |
| Zip Code | 93422-1523 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093914152 | Sandy Lea Wortley | Counselor | 2000 Traffic Way, Atascadero, CA 93422-1523 | 2007-07-17 |
| 1275001067 | Bryan's House Recovery Home | Substance Abuse Rehabilitation Facility | 2000 Traffic Way, Atascadero, CA 93422-1523 | 2018-11-09 |
| 1235498353 | Jennifer Ann Gustavson-dufour | Marriage & Family Therapist | 2000 Traffic Way, Atascadero, CA 93422-1523 | 2012-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356903645 | Michael E Nevin | Licensed Psychiatric Technician | 6550 Morro Rd, Unit D, Atascadero, CA 93422 | 2019-07-08 |
| 1225495583 | Kelly Michelle Morrow | Counselor | 7130 Sombrilla Ave., Atascadero, CA 93422 | 2016-01-18 |
| 1609242817 | Cheyenne M Britton | Counselor | 9366 Ribereng Circle, Atascadero, CA 93422 | 2015-08-12 |
| 1033590856 | Debra Marie Califia | Counselor | 6500 Morro Rd., Aegis Treatment Centers, Atascadero, CA 93422 | 2015-06-17 |
| 1134548498 | Allison Muller | Counselor | 8000 Santa Rosa Road, Atascadero, CA 93422 | 2014-04-15 |
| 1376973875 | Jana Slezakova | Psychologist | 10333 El Camino Real Dept Of, Atascadero, CA 93422 | 2013-11-19 |
| 1013341189 | Kimberly L Schwab | Counselor | 5575 Hospital Dr., Atascadero, CA 93422 | 2013-08-26 |
| 1982941274 | Krisitana Lynn Hatcher Miller | Counselor | 6312 Atascadero Ave, Atascadero, CA 93422 | 2013-01-07 |
| 1588939995 | Else Mai Thi Curry | Counselor | 4000 Santa Cruz Rd, Atascadero, CA 93422 | 2012-03-19 |
| 1083987523 | Kathryn Gaoiran Bartlett | Pharmacist | 8200 El Camino Real, Atascadero, CA 93422 | 2012-02-14 |
| Find all providers in zip 93422 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295134153 | Amanda Knauer | Counselor | 7800 San Andres Ave, Apt 4, Atascadero, CA 93422-4006 | 2014-08-17 |
| 1669621991 | William C. Rey | Counselor | 5010 San Jacinto Ave, Atascadero, CA 93422-2948 | 2008-09-10 |
| 1366629990 | Charles Thomas Peerson II | Counselor | 7257 Parriza Ct, Atascadero, CA 93422-4544 | 2008-01-25 |
| 1326668518 | Bryce Johnson | Counselor | 6850 Morro Rd, Atascadero, CA 93422-4123 | 2020-04-17 |
| 1043854896 | Brittney Marie Brewer | Counselor | 6850 Morro Rd, Atascadero, CA 93422-4123 | 2019-11-05 |
| 1942851506 | Camille Smith | Counselor | 6850 Morro Rd, Atascadero, CA 93422-4123 | 2019-09-25 |
| 1881244887 | Sarah Cox | Counselor | 6850 Morro Rd, Atascadero, CA 93422-4123 | 2019-09-12 |
| 1528612900 | Aline Galilee Deluca | Counselor | 6850 Morro Rd, Atascadero, CA 93422-4123 | 2019-07-24 |
| 1487219788 | Jimena Natali Ramirez | Counselor | 6850 Morro Rd, Atascadero, CA 93422-4123 | 2019-05-02 |
| 1003373036 | Natalie Janette Rodriguez | Counselor | 6850 Morro Rd, Atascadero, CA 93422-4123 | 2019-02-26 |
| Find all providers in ATASCADERO | ||||
| City | ATASCADERO |
| Zip Code | 93422 |
Please comment or provide details below to improve the information on KASTINA RAE 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.