Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1003499237 Individual Practitioner Female Practitioner

Madison Blaze Moore

Counselor • Marietta, OH

Professional Overview & Biography Verified Profile Summary

Madison Moore is a registered healthcare professional specializing in Counselor in Marietta, OH. Practice services are available at 207D COLEGATE DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

207d Colegate Dr

Marietta, OH 457502363

Telephone 7403760930
Fax 7403760933
Associated Practice Facility / Clinic
🏢 L & P Services, Inc. Facility NPI 1942289301

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Marietta, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 4.5 Yrs
State Avg: 13.0 Yrs
Regional Practice Density
12 Specialists

Practicing in Marietta, OH (4163 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

CMS Verified: 2021-05-05
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License OH C.2002225-TRNE

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

40 Associated Practitioners
David Kosko , ICADC

Counselor - Addiction (Substance Use Disorder)

NPI 1003178872
Erin Godfrey , LPCC

Counselor - Mental Health

NPI 1003433939

Licensed Professional Clinical Counselor

Joni Hood

Counselor - Professional

NPI 1013549013
Andrew Traugh

Case Manager/Care Coordinator

NPI 1013562834
Isaac Work

Case Manager/Care Coordinator

NPI 1033744537
Susanne Bock , LSW

Social Worker

NPI 1053648519

Licensed Social Worker

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active May 05, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location May 05, 2021

Registered at 207D COLEGATE DR, MARIETTA, OH 457502363 (Tel: 7403760930)

📍
Updated Business Mailing Address May 05, 2021

Registered at 207D COLEGATE DR, MARIETTA, OH 457502363 (Tel: 7403760930)

👤
Provider Name / Credentials Updated May 05, 2021

Recorded as MADISON MOORE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 05, 2021

Counselor (License #C.2002225-TRNE in OH)

🟢
Initial NPI Registration & Enumeration May 05, 2021

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: 1003499237
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 05, 2021
Last Update: May 05, 2021
Sole Proprietor: No

Mailing Address

207d Colegate Dr

Marietta, OH 457502363

Phone: 7403760930

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.