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DIANA MOORE MA LMFT LPCC
NPI 1003195066
Marriage & Family Therapist in San Mateo, CA

Active since August 09, 2011Opted out of Medicare · through Aug 16, 2026
1510 FASHION ISLAND BLVD, SUITE 110, SAN MATEO, CA 94404(650) 906-3978(650) 570-4283 Get Directions Write a Review

NPPES record last updated: April 23, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Diana Moore Ma Lmft Lpcc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DIANA MOORE MA LMFT LPCC (NPI 1003195066) is an individual marriage & family therapist in San Mateo, California, licensed in California (MFC 50214) and active in the NPI registry since August 2011. She has opted out of Medicare through August 16, 2026.

NPPES Registry Identity

NPI1003195066
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameDIANA MOORECredential: MA LMFT LPCC
Location Address1510 FASHION ISLAND BLVD, SUITE 110San Mateo, CA 94404-1596
Mailing Address1510 Fashion Island Blvd, Suite 110San Mateo, CA 94404-1596 · (650) 906-3978 · Fax (650) 570-4283
Phone(650) 906-3978
Fax(650) 570-4283
Sole ProprietorYes
Enumeration DateAugust 9, 2011
Last NPPES UpdateApril 23, 2024
NPPES CertifiedApril 23, 2024
✔ NPI 1003195066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · MFC 50214
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 2021012918 (MO), LPC 85 (CA)
1510 FASHION ISLAND BLVD, San Mateo, CA 94404
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Other Names 1

Former Name (1)Diana To

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Diana Moore Ma Lmft Lpcc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 16, 2024 through August 16, 2026.

Opt-Out Effective DateAugust 16, 2024
Opt-Out In Effect ThroughAugust 16, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEVEN KINSTLER MFTI
Marriage & Family Therapist
1510 FASHION ISLAND BLVD, SUITE 110
SAN MATEO, CA 94404
San Mateo County (650) 570-7273
ALEXANDRA HELENIUS
Marriage & Family Therapist
1510 FASHION ISLAND BLVD, SUITE 110
SAN MATEO, CA 94404
San Mateo County (805) 509-4437
MRS. SUZANNE MARIE HUGHES MFT
Marriage & Family Therapist
1510 FASHION ISLAND BLVD, SUITE 110
SAN MATEO, CA 94404
San Mateo County (415) 860-1475
MICHELLE TUNG KWOK M.D.
Psychiatry & Neurology (Psychiatry)
1510 FASHION ISLAND BLVD, SUITE 110
SAN MATEO, CA 94404
San Mateo County (408) 421-5826
DR. MARITE GRANDOVSKIS
Psychologist (Clinical)
1510 FASHION ISLAND BLVD, SUITE 110
SAN MATEO, CA 94404
San Mateo County (650) 829-4911
CHRISTIAN COUNSELING CENTERS, INC.
Community/Behavioral Health
1510 FASHION ISLAND BLVD
SAN MATEO, CA 94404
San Mateo County (650) 570-7273
MARITE GRANDOVSKIS PHD
Psychologist (Clinical)
1510 FASHION ISLAND BLVD, SUITE 110
SAN MATEO, CA 94404
San Mateo County (650) 829-4911
DR. JONATHAN HARTLEY ARNOLD PH.D.
Psychologist (Clinical)
1510 FASHION ISLAND BLVD, SUITE 110
SAN MATEO, CA 94404
San Mateo County (650) 570-7273

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Diana Moore's NPI number?

The NPI number for Diana Moore is 1003195066. It was assigned to this individual provider in the NPPES registry on August 9, 2011. The provider is also known as Diana To.

Where is Diana Moore located?

Diana Moore practices at 1510 Fashion Island Blvd Suite 110, San Mateo, CA 94404. The listed phone number is (650) 906-3978.

What is Diana Moore's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Diana Moore enrolled in Medicare?

No. Diana Moore has opted out of Medicare through August 16, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Diana Moore was last updated on April 23, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.