Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1376708792 Deactivated / Inactive NPI Male Practitioner

Brian Moore , AOD COUNSELOR

Counselor • Placerville, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Brian Moore has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 24, 2008
NPI Deactivation Date March 08, 2023
Total Practice Duration ~15 Years of Practice (2008 – 2023)

Professional Overview & Biography Verified Profile Summary

Brian Moore, AOD COUNSELOR was a registered Counselor practicing in Placerville, CA. Throughout an active medical career spanning 15 years, Brian Moore provided care at the practice location at 893 SPRING ST until profile deactivation on 2023-03-08.

Practice Location & Contact Primary Location

Practice Address

893 Spring St

Placerville, CA 956674437

Telephone 5306228193
Fax 5306224017
Associated Practice Facility / Clinic
🏢 Edca Lifeskill Facility NPI 1548399694

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Placerville, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.9 Yrs
Regional Practice Density
24 Specialists

Practicing in Placerville, CA (14303 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
NPI 1053517680

CASII

Charles Baker

Counselor - Addiction (Substance Use Disorder)

NPI 1518293406
Denia Eskenazi

Counselor - Addiction (Substance Use Disorder)

NPI 1538495429
Deena Reyes

Counselor - Addiction (Substance Use Disorder)

NPI 1760682736
Marvin Parker , CAS I

Counselor - Addiction (Substance Use Disorder)

NPI 1811162126

CASI

David Del Rio , AOD

Counselor - Addiction (Substance Use Disorder)

NPI 1811163462

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated March 08, 2023

Record deactivated on March 08, 2023

NPI Profile Active July 24, 2008

NPI status registered as active in NPPES database

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Updated Practice Location July 24, 2008

Registered at 893 SPRING ST, PLACERVILLE, CA 956674437 (Tel: 5306228193)

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Updated Business Mailing Address July 24, 2008

Registered at 893 SPRING STREET, PLACERVILLE, CA 95667 (Tel: 5306228193)

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Provider Name / Credentials Updated July 24, 2008

Recorded as BRIAN MOORE, AOD COUNSELOR

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 24, 2008

Counselor

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Initial NPI Registration & Enumeration July 24, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1376708792
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 24, 2008
Last Update: July 24, 2008
Deactivation Date: March 08, 2023

Mailing Address

893 Spring Street

Placerville, CA 95667

Phone: 5306228193

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.