MOORE COUNSELING AND MEDIATION SERVICES
NPI 1356876221
Nursing Care in Euclid, OH

NPI Status: Active since April 27, 2017

Contact Information

22639 EUCLID AVE
EUCLID, OH
ZIP 44117
Phone: (216) 404-1900
Fax: (216) 404-1901

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  • Organization
  • Nursing Care
  • CLIA Number: 36D2118122
  • CLIA Cert. Type: Comp. Outpatient Rehab Facility
  • CLIA Exp. Date: 08-29-2026

About MOORE COUNSELING AND MEDIATION SERVICES

This page provides the complete NPI Profile along with additional information for Moore Counseling And Mediation Services, a provider established in Euclid, Ohio operating as a Nursing Care. The healthcare provider is registered in the NPI registry with number 1356876221 assigned on April 2017. The practitioner's primary taxonomy code is 251J00000X with license number RN.413369 (OH). The provider is registered as an organization and their NPI record was last updated 8 years ago. The authorized official of this NPI record is Martina Moore (Ceo)

NPI
1356876221
Provider Name
MOORE COUNSELING AND MEDIATION SERVICES
Entity Type
Organization
Location Address
22639 EUCLID AVE EUCLID, OH 44117
Location Phone
(216) 404-1900
Location Fax
(216) 404-1901
Mailing Address
22639 EUCLID AVE EUCLID, OH 44117
Mailing Phone
(216) 404-1900
Mailing Fax
(216) 404-1901
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-27-2017
Last Update Date
04-27-2017
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nursing Care

Taxonomy Code
251J00000X
Type
Agencies
License No.
RN.413369
License State
OH
Taxonomy Description
A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MARTINA MOORE

Authorized Official Title
CEO
Authorized Official Phone
(216) 404-1900

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
36D2118122
Facility Type
Comp. Outpatient Rehab Facility
Certificate Effective Date
August 30, 2024
Certificate Expiration Date
August 29, 2026
Laboratory Director
MARTINA MOORE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Moore Counseling And Mediation Services to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1356876221
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
231061671224
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 0 + 6 + 1 + 6 + 7 + 1 + 2 + 2 + 4 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1356876221 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1972864478MRS. ALLISON M CRAIG LISW-S
Individual
Social Worker22639 EUCLID AVE
EUCLID, OH 44117
(216) 404-1900
1679020341 MICHELLE MURPHY LPC, LICDC, AT
Individual
Counselor (Addiction (Substance Use Disorder))22639 EUCLID AVE
EUCLID, OH 44117
(216) 404-1900
1568980902 BRITTANI DAVIS LPC
Individual
Counselor (Professional)22639 EUCLID AVE
EUCLID, OH 44117
(216) 404-1900
1316465503 ARTUR SHAWN FAISON CDCA, NCAC I
Individual
Counselor (Addiction (Substance Use Disorder))22639 EUCLID AVE
EUCLID, OH 44117
(216) 404-1900
1043720808 LYDIA DABNEY CDCA
Individual
Counselor22639 EUCLID AVE
EUCLID, OH 44117
(216) 486-1919
1245731637MRS. ANNETTE ROSE AUDI-DEGIDIO LSW
Individual
Counselor22639 EUCLID AVE
EUCLID, OH 44117
(216) 404-1900
1811498041MRS. DENICE LITTLEPAGE MA. CDCA. OBBC
Individual
Counselor (Addiction (Substance Use Disorder))22639 EUCLID AVE
EUCLID, OH 44117
(216) 404-1900
1609377431MR. RODERIC KENNETH JOHNSON CDCA
Individual
Counselor (Addiction (Substance Use Disorder))22639 EUCLID AVE
EUCLID, OH 44117
(216) 404-1900
1710488564 PHILLIP COE JR. CDCA
Individual
Counselor (Addiction (Substance Use Disorder))22639 EUCLID AVE
EUCLID, OH 44117
(216) 650-1775
1508361981 NICK WAYNE OWENS CDCA
Individual
Counselor (Addiction (Substance Use Disorder))22639 EUCLID AVE
EUCLID, OH 44117
(216) 404-1900
1376032573 JOHN CARLSON CDCA
Individual
Counselor (Addiction (Substance Use Disorder))22639 EUCLID AVE
EUCLID, OH 44117
(216) 404-1900
1114497526 EVA MARIE KREBS COUNSELOR TRAINEE
Individual
Student in an Organized Health Care Education/Training Program22639 EUCLID AVE
EUCLID, OH 44117
(216) 404-1900
1952871998 ERICA JOYCE POLLICE
Individual
Student in an Organized Health Care Education/Training Program22639 EUCLID AVE
EUCLID, OH 44117
(216) 404-1900
1902377518 KENYA K WORDLAW
Individual
Case Manager/Care Coordinator22639 EUCLID AVE
EUCLID, OH 44117
(216) 486-1900
1093286437 TENISHA NICHELLE MACK ABD, CDCA, CAMS-II
Individual
Case Manager/Care Coordinator22639 EUCLID AVE
EUCLID, OH 44117
(216) 404-1900
1093288052 EBONY SIMONE GEORGE
Individual
Case Manager/Care Coordinator22639 EUCLID AVE
EUCLID, OH 44117
(216) 404-1900
1306401831DR. ROBERT J MOORE
Individual
Counselor (Addiction (Substance Use Disorder))22639 EUCLID AVE
EUCLID, OH 44117
(216) 404-1900
1427605187 EMILY MARCINOWSKI
Individual
Student in an Organized Health Care Education/Training Program22639 EUCLID AVE
EUCLID, OH 44117
(216) 404-1900
1750938429 JENNIFER LEE CURLEY
Individual
Student in an Organized Health Care Education/Training Program22639 EUCLID AVE
EUCLID, OH 44117
(216) 404-1900
1164064572MS. JACINDA ANN COLLINS
Individual
Case Manager/Care Coordinator22639 EUCLID AVE
CLEVELAND, OH 44117
(216) 404-1900

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356876221, enumerated in the NPI registry as an "organization" on April 27, 2017

The provider is located at 22639 Euclid Ave Euclid, Oh 44117 and the phone number is (216) 404-1900

This medical organization specializes in Nursing Care with taxonomy code 251J00000X

The provider's CLIA number is 36D2118122 for a "comp. outpatient rehab facility" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on April 27, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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