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SOUA LY MOUA
NPI 1053442707
Marriage & Family Therapist in Gresham, OR

Active since March 07, 2007PECOS Enrolled
330 NE GREENWAY DR, GRESHAM, OR 97030(562) 644-4413(562) 490-7601 Get Directions Write a Review

NPPES record last updated: December 17, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Soua Ly Moua NPPES

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

SOUA LY MOUA (NPI 1053442707) is an individual marriage & family therapist in Gresham, Oregon, licensed in California (MFC50724) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053442707
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameSOUA LY MOUA
Location Address330 NE GREENWAY DRGresham, OR 97030-1702
Mailing Address330 Ne Greenway DrGresham, OR 97030-1702 · (562) 644-4413
Phone(562) 644-4413
Fax(562) 490-7601
Sole ProprietorNo
Enumeration DateMarch 7, 2007
Last NPPES UpdateDecember 17, 2020
NPPES CertifiedDecember 17, 2020
✔ NPI 1053442707 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 · MFC50724
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.
330 NE GREENWAY DR, Gresham, OR 97030
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Oregon.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Soua Ly Moua 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.

Medicare Billing Reassignment

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

Izzo Marriage & Family Therapy PC
549 mi
Mental Health (Including Community Mental Health Center)
3130 LA SELVA ST STE 300
San Mateo, CA 94403
  • Reassigned Medicare billing, California enrollment
  • 14 clinicians in this Medicare group
NPI 1518557552 (650) 654-8585

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

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 Soua Moua's NPI number?

The NPI number for Soua Moua is 1053442707. It was assigned to this individual provider in the NPPES registry on March 7, 2007.

Where is Soua Moua located?

Soua Moua practices at 330 NE Greenway Dr, Gresham, OR 97030. The listed phone number is (562) 644-4413.

What is Soua Moua's specialty?

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

Is Soua Moua enrolled in Medicare?

Yes. Soua Moua is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Soua Moua's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Soua Moua reassigns Medicare benefits to Izzo Marriage & Family Therapy PC (San Mateo, CA). 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 Soua Moua's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Soua Moua accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Soua Moua 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 Soua Moua was last updated on December 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.