ELSA NOBUE MOORE
NPI 1003521428
Counselor - Mental Health in Burien, WA

Q: What is Elsa Moore's NPI number?

The NPI number for Elsa Moore is 1003521428. It was assigned to this individual provider in the NPPES registry on January 19, 2023.

Q: What is Elsa Moore's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Elsa Moore was last updated on April 14, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 19, 2023PECOS Enrolled

1210 SW 136TH ST, BURIEN, WA 98166(206) 257-6600 Get Directions Write a Review

NPPES record last updated: April 14, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Elsa Nobue Moore NPPES

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

ELSA NOBUE MOORE (NPI 1003521428) is an individual mental health provider in Burien, Washington, licensed in Washington (MG61516028) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1003521428

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameELSA NOBUE MOORE

Location Address1210 SW 136TH STBurien, WA 98166-1214

Mailing Address1210 Sw 136th StBurien, WA 98166-1214 · (206) 257-6600

Phone(206) 257-6600

Sole ProprietorYes

Medical School CMSOtherGraduated 2023

Enumeration DateJanuary 19, 2023

Last NPPES UpdateApril 14, 2025

NPPES CertifiedApril 14, 2025

✔ NPI 1003521428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in WA · MG61516028

1210 SW 136TH ST, Burien, WA 98166

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elsa Nobue Moore is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8628564176

PECOS Enrollment IDI20260105001665

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.