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Deactivated NPI 1710170964 Deactivated / Inactive NPI Male Practitioner

Robert S Moffitt , BS

Counselor • Riverside, 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, Robert Moffitt has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 21, 2007
NPI Deactivation Date June 05, 2024
Total Practice Duration ~17 Years of Practice (2007 – 2024)

Professional Overview & Biography Verified Profile Summary

Robert Moffitt, BS was a registered Counselor practicing in Riverside, CA. Throughout an active medical career spanning 17 years, Robert Moffitt provided care at the practice location at 6355 RIVERSIDE AVE until profile deactivation on 2024-06-05.

Practice Location & Contact Primary Location

Practice Address

6355 Riverside Ave

Riverside, CA 925063163

Telephone 9513690219
Fax 9516861029
Associated Practice Facility / Clinic
🏢 County Of Riverside Facility NPI 1336214279

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Riverside, CA

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

Practicing in Riverside, 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

8 Associated Practitioners
Leslie Echegoyen Soto

Counselor - Mental Health

NPI 1073783825
Edward Fletcher

Case Manager/Care Coordinator

NPI 1093835696
Gretchen Hillman , MSW, LCSW

Social Worker - Clinical

NPI 1326185885

Master of Social Work, Licensed Clinical Social Worker

David Jenkins

Counselor - Addiction (Substance Use Disorder)

NPI 1386730927
Emily Chavez

Counselor - Mental Health

NPI 1770603284
Barbara Mitchell , LCSW

Social Worker - Clinical

NPI 1780721233

Licensed Clinical Social Worker

Career & Practice History Timeline

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

7 Historical Events
⚠️
NPI Profile Deactivated June 05, 2024

Record deactivated on June 05, 2024

NPI Profile Active August 21, 2007

NPI status registered as active in NPPES database

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Updated Practice Location August 21, 2007

Registered at 6355 RIVERSIDE AVE, RIVERSIDE, CA 925063163 (Tel: 9513690219)

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Updated Business Mailing Address August 21, 2007

Registered at PO BOX 2117, COLTON, CA 923240823 (Tel: 9514888036)

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Provider Name / Credentials Updated August 21, 2007

Recorded as ROBERT MOFFITT, B.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 21, 2007

Counselor

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Initial NPI Registration & Enumeration August 21, 2007

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: 1710170964
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 21, 2007
Last Update: August 21, 2007
Deactivation Date: June 05, 2024

Mailing Address

Po Box 2117

Colton, CA 923240823

Phone: 9514888036

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.