NPPES file of Aug 9, 2026

Carrie Renae Moore, SAC-IT

Addiction (Substance Use Disorder) Counselor · Kenosha, WI

Carrie Renae Moore, SAC-IT is an addiction (substance use disorder) counselor with a practice address in Kenosha, Wisconsin, and NPI 1508684804, issued on Sep 26, 2024. Check the license (Wisconsin 20205-130, as entered in NPPES) with the Wisconsin board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1508684804
Name
Carrie Renae Moore
Credential
SAC-IT
Primary taxonomy
Addiction (Substance Use Disorder) Counselor 101YA0400X
License number
20205-130 WI
Self-reported in NPPES; status is on the state search
Practice location
6321 23RD Ave, Kenosha, WI 53143
Phone
(262) 671-1625
Enumerated
Sep 26, 2024
Record last updated
Oct 29, 2024
Fax
(866) 719-3024
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
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Also registered at 6321 23RD Ave

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Kelsey Garcia, LPC-ITProfessional Counselor1407490832
  2. Jennifer Stanis, APSWSocial Worker1750182275

Verify Carrie Renae Moore in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Wisconsin board licenses this profession
    Search for license 20205-130
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Wisconsin license search

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Carrie Renae Moore among 2,096 addiction (substance use disorder) counselor records in Wisconsin

Carrie Renae Moore, SAC-IT is one of 2,096 addiction (substance use disorder) counselor records with a practice address in Wisconsin. 3% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2024, is newer than 86% of them.

  • NPI issued2024 · 86% of these records are older, 9% newer
  • In a Medicare fileNo · 3% of these records are
  • In the CMS Doctors and Clinicians fileNo · 4% of these records are
  • Record last updated2024 · 63% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 101YA0400X and a Wisconsin practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

28 addiction (substance use disorder) counselor records list a practice address in Kenosha

They are 28 of the 1,852 NPPES records with a practice address in Kenosha, and 2,096 addiction (substance use disorder) counselor records in Wisconsin. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.

The 8 addiction (substance use disorder) counselor records with the nearest ZIP codes

  1. Andrea AikensKenosha, WI 531431760914865
  2. Daniel Baran, MAKenosha, WI 531431861504805
  3. Morgan DiazKenosha, WI 531431922389352
  4. Lakia FlowersKenosha, WI 531431114883634
  5. Jennifer Free, SAC-ITKenosha, WI 531431215661350
  6. Stephanie KarlsKenosha, WI 531431477410694
  7. Sandra Malone, CSACKenosha, WI 531431265642714
  8. Tony Moore, CADC,CCSKenosha, WI 531431689840332

Common questions

What is Carrie Renae Moore, SAC-IT's NPI number?

Carrie Renae Moore, SAC-IT's National Provider Identifier (NPI) is 1508684804, issued on Sep 26, 2024. An NPI identifies a provider in billing; it is not a license.

Where is Carrie Renae Moore, SAC-IT located?

The NPPES record lists a practice address at 6321 23RD Ave, Kenosha, WI, 53143. Phone: (262) 671-1625. Providers update this record themselves, so call before visiting.

How can I verify Carrie Renae Moore, SAC-IT's license?

NPPES lists Wisconsin license number 20205-130, as entered by the provider. Search the Wisconsin board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.