Jackie Moore, MA
NPI 1629355870 · Addiction (Substance Use Disorder) Counselor · Grosse Pointe, MI
Jackie Moore, MA is a Addiction (Substance Use Disorder) Counselor provider in Grosse Pointe, MI (NPI 1629355870).
Provider details
- NPI number
- 1629355870
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- MA
- Sex
- Male
- Sole proprietor
- Yes
- License
- 6401007537 (MI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
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
14 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
- 2011-11-15
- Last updated
- 2011-11-15
Frequently asked questions
- What is Jackie Moore's NPI number?
- Jackie Moore's National Provider Identifier (NPI) is 1629355870, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jackie Moore's specialty?
- Jackie Moore is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor (Behavioral Health & Social Service Providers).
- Where is Jackie Moore located?
- Jackie Moore's practice location on file with NPPES is 18530 Mack Ave Ste 101, Grosse Pointe, MI 48236-3254.
- What is Jackie Moore's phone number?
- The practice phone number listed in the NPPES registry for Jackie Moore is (313) 673-9073.
- Is Jackie Moore's NPI active?
- Yes — Jackie Moore's NPI (1629355870) is active in the NPPES registry as of the last update on 2011-11-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.