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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Mr. Jackie Moore, MA

Addiction (Substance Use Disorder) Counselor in Grosse Pointe, MI · enumerated 2011.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1629355870

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Registry record

Entity type Individual (Type 1)
Name Mr. Jackie Moore
Credential MA
Sex Male
Practice address Grosse Pointe, MI, 48236
Phone (313) 673-9073
Fax (313) 884-8442
Enumeration date Nov 15, 2011
Last updated in NPPES Nov 15, 2011

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

101YA0400X Addiction (Substance Use Disorder) Counselor Behavioral Health & Social Service Providers · License 6401007537 (MI) Primary
103TC1900X Counseling Psychologist Behavioral Health & Social Service Providers · License 6301005272 (MI) Secondary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Jackie Moore?
The National Provider Identifier (NPI) for Jackie Moore is 1629355870, a Type 1 (individual) record in the CMS NPPES registry.
Where does Jackie Moore practice?
The practice location on file with NPPES is in Grosse Pointe, MI. Providers can have multiple locations; NPPES lists the primary practice address.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-11-15.