DUANE W MOORE (NPI# 1902820251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902820251 |
| Entity Type | Individual |
| Full Name | DUANE W MOORE |
| Credential | LMHC |
| Practice Address |
608 E Boulevard Kokomo IN 46902 |
| Practice Telephone | 7654556010 |
| Practice Fax Number | 7654556017 |
| Mailing Telephone | 7654556010 |
| Mailing Fax Number | 7654556017 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 39001254A | IN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114397106 | Duane Moore | Student in an Organized Health Care Education/Training Program | 3415 Seyburn St, Detroit, MI 48214-1720 | 2015-10-02 |
| 1467587329 | Duane Stephen Moore | Dentist | 2026 Olympic Hwy N, Suite 101, Shelton, WA 98584-4156 | 2007-02-22 |
| 1285790287 | Duane Scott Moore | Dentist | 112 North Oak St, Seneca, SC 29678 | 2006-12-28 |
| 1700973435 | Duane Moore | Emergency Medicine | 3635 Vista Ave, West Pavilion, Room 315, Saint Louis, MO 63110-2539 | 2006-10-06 |
| Street Address |
608 E BOULEVARD |
| City | KOKOMO |
| State | IN |
| Zip Code | 46902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255323226 | Frank M. Decleene IIi | Optometrist | 608 E Boulevard, Kokomo, IN 46902-2286 | 2005-08-16 |
| 1780739540 | Decleene Optometry, Inc. | Optometrist | 608 E Boulevard, Kokomo, IN 46902-2286 | 2007-01-24 |
| 1770594335 | Laura Hapner | Student in an Organized Health Care Education/Training Program | 608 E Boulevard, Kokomo, IN 46902 | 2006-08-10 |
| 1477574341 | Joy Neptune Rich | Social Worker | 608 E Boulevard, Kokomo, IN 46902 | 2006-07-23 |
| 1427040492 | Catherine M. Decleene | Optometrist | 608 E Boulevard, Kokomo, IN 46902-2286 | 2005-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699306241 | Amber Barney | Nurse Practitioner | 3611 S Lafountain St, Kokomo, IN 46902 | 2020-02-03 |
| 1215585914 | Kenneth Waitt | Pharmacist | 4026 County Rd E 400 S, Kokomo, IN 46902 | 2019-08-27 |
| 1457906141 | With Dignity Too LLC | Clinic/Center | 1958 West Boulivard, Kokomo, IN 46902 | 2019-08-08 |
| 1649738931 | Kc Caregivers, Inc. | In Home Supportive Care | 4053 S Webster St, Kokomo, IN 46902 | 2019-03-06 |
| 1225514805 | Navneet Aulakh | Dentist | Lakewood Family Dental of Kokomo Pllc, 2302 S Dixon Rd Suite 125, Kokomo, IN 46902 | 2018-07-17 |
| 1285127548 | Jeremy Matthew Gibson | Case Manager/Care Coordinator | 2739 Albright Rd, Kokomo, IN 46902 | 2018-06-12 |
| 1821585175 | Kneeded Balance and Tranquility | Massage Therapist | 3708 S. Lafountain St, Kokomo, IN 46902 | 2018-04-21 |
| 1063812899 | Gabriel Valentine | Counselor | 1613 South Elizabeth St, Apt 1b, Kokomo, IN 46902 | 2014-08-28 |
| 1588085740 | Roni Dinglasa | Physical Therapist | 2102 Cedar Run Drive, Kokomo, IN 46902 | 2013-12-13 |
| 1063761559 | Kimberly R Kuehl | Pharmacist | 1037 S. Reed Road, Kokomo, IN 46902 | 2012-08-30 |
| Find all providers in zip 46902 | ||||
| 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 |
|---|---|---|---|---|
| 1013233980 | Michael R Turley | Counselor | 979 Echo Ln, Kokomo, IN 46902-2602 | 2010-04-15 |
| 1275677270 | Tara L Eytcheson | Counselor | 1539 E 100 N, Kokomo, IN 46901-3413 | 2007-02-16 |
| 1811536592 | Calah Unique Oglesby | Counselor | 1948 W Boulevard, Kokomo, IN 46902-6078 | 2019-12-30 |
| 1801451372 | Julie Parson Otis | Counselor | 1948 W Boulevard, Kokomo, IN 46902-6078 | 2019-05-09 |
| 1225598063 | Rita Marie Tattersall | Counselor | 2765 Albright Rd Ste A, Kokomo, IN 46902-3996 | 2019-03-20 |
| 1790258713 | Stephanie Newswanger | Counselor | 424 E Southway Blvd, Kokomo, IN 46902-3814 | 2019-01-03 |
| 1689196032 | Monica Patrease Mcdonald | Counselor | 1948 W Boulevard, Kokomo, IN 46902-6078 | 2017-07-07 |
| 1376063586 | Rich T. Saxton | Counselor | 1948 W Boulevard, Kokomo, IN 46902-6078 | 2017-06-20 |
| 1770983348 | Kim Almon Smith | Counselor | 315 W Lincoln Rd, Kokomo, IN 46902-3850 | 2014-09-02 |
| 1114344116 | Rachel Anderson | Counselor | 3409 S 200 W, Kokomo, IN 46902-9613 | 2014-03-27 |
| Find all providers in KOKOMO | ||||
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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.