SHAWN ALBERT MOORE
NPI 1033518071
Marriage & Family Therapist in Sacramento, CA

Q: What is Shawn Moore's NPI number?

The NPI number for Shawn Moore is 1033518071. It was assigned to this individual provider in the NPPES registry on August 15, 2014.

Q: What is Shawn Moore's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shawn Moore was last updated on April 16, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 15, 2014PECOS Enrolled

4600 47TH AVE, SACRAMENTO, CA 95824(916) 940-7094(510) 569-4589 Get Directions Write a Review

NPPES record last updated: April 16, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 16, 2024, Jul 7, 2022 (2 updates tracked since 2022).

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About Shawn Albert Moore NPPES

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

SHAWN ALBERT MOORE (NPI 1033518071) is an individual marriage & family therapist in Sacramento, California, licensed in California (146232) and active in the NPI registry since August 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033518071

Entity TypeIndividualMale

Primary Taxonomy106H00000X

Provider Legal NameSHAWN ALBERT MOORE

Location Address4600 47TH AVESacramento, CA 95824-3923

Mailing Address4600 47th AveSacramento, CA 95824-3923 · (916) 501-4378 · Fax (510) 569-4589

Phone(916) 940-7094

Fax(510) 569-4589

Sole ProprietorYes

Enumeration DateAugust 15, 2014

Last NPPES UpdateApril 16, 20242 updates tracked since enumeration

NPPES CertifiedApril 16, 2024

✔ NPI 1033518071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · 146232

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.

4600 47TH AVE, Sacramento, CA 95824

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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.

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.

TERESA DRISKER MHRS

Peer Specialist