Derryck Moore, LADC
NPI 1336381599 · Addiction (Substance Use Disorder) Counselor · Plymouth, MN
Derryck Moore, LADC is a Addiction (Substance Use Disorder) Counselor provider in Plymouth, MN (NPI 1336381599).
Provider details
- NPI number
- 1336381599
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- LADC
- Sex
- Male
- Sole proprietor
- Yes
- License
- 301674 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2009-04-01
- Last updated
- 2009-04-01
Frequently asked questions
- What is Derryck Moore's NPI number?
- Derryck Moore's National Provider Identifier (NPI) is 1336381599, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Derryck Moore's specialty?
- Derryck Moore is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor (Behavioral Health & Social Service Providers).
- Where is Derryck Moore located?
- Derryck Moore's practice location on file with NPPES is 12400 25th Ave N, Plymouth, MN 55441-4008.
- What is Derryck Moore's phone number?
- The practice phone number listed in the NPPES registry for Derryck Moore is (612) 220-8645.
- Is Derryck Moore's NPI active?
- Yes — Derryck Moore's NPI (1336381599) is active in the NPPES registry as of the last update on 2009-04-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.