1. Home
  2. Directory
  3. Washington
  4. Burien
  5. Counselor
  6. NPI Profile

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

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: November 01, 2026.

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
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Elsa Moore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Navos
3.7 mi
Mental Health (Including Community Mental Health Center)
2600 SW HOLDEN ST
Seattle, WA 98126
  • Reassigned Medicare billing, Washington enrollment
  • 84 clinicians in this Medicare group
NPI 1194728105 (206) 933-7214

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

TAYLOR MARIE GROGAN
Counselor (Mental Health)
1210 SW 136TH ST
BURIEN, WA 98166
King County (206) 257-6600
CHRISTINA MARIANNE LITTLE
Registered Nurse (Psychiatric/Mental Health)
1210 SW 136TH ST
BURIEN, WA 98166
King County (206) 257-1219
DAVE WOLTHAUSEN CD , LMHC
Counselor (Addiction (Substance Use Disorder))
1210 SW 136TH ST
BURIEN, WA 98166
King County (206) 257-6600
COOPER PERRY
Counselor (Mental Health)
1210 SW 136TH ST
BURIEN, WA 98166
King County (206) 257-6600
CAITLIN MARGITAN PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
1210 SW 136TH ST
BURIEN, WA 98166
King County (206) 669-9245
MR. ANDREW LOGAN AGENCY AFFILIATED
Counselor
1210 SW 136TH ST
BURIEN, WA 98166
King County (206) 257-6913
HALEY VALENTINE JOHNSON SUDPT
Counselor (Addiction (Substance Use Disorder))
1210 SW 136TH ST
BURIEN, WA 98166
King County (206) 257-6600
MS. EDITH LOUISE HAVRANEK MA, LMHC
Counselor (Mental Health)
1210 SW 136TH ST
BURIEN, WA 98166
King County (206) 257-6600

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 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.

Where is Elsa Moore located?

Elsa Moore practices at 1210 SW 136th St, Burien, WA 98166. The listed phone number is (206) 257-6600.

What is Elsa Moore's specialty?

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

Is Elsa Moore enrolled in Medicare?

Yes. Elsa Moore is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Elsa Moore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elsa Moore reassigns Medicare benefits to Navos (Seattle, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Elsa Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Elsa Moore accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Elsa Moore as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Elsa Moore was last updated on April 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.