DARYN MOORE CAADC
NPI 1114700465
Counselor - Mental Health in Philadelphia, PA
About Daryn Moore Caadc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DARYN MOORE CAADC (NPI 1114700465) is an individual mental health provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (PC017264) and active in the NPI registry since August 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Daryn Moore Caadc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Daryn Moore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Philadelphia, PA 19143
- Reassigned Medicare billing, Pennsylvania enrollment
- Medicare enrollment name: Public Health Management Corporation
- 100 clinicians in this Medicare group
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.
PHILADELPHIA, PA 19143
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 Daryn Moore's NPI number?
The NPI number for Daryn Moore is 1114700465. It was assigned to this individual provider in the NPPES registry on August 18, 2023.
Where is Daryn Moore located?
Daryn Moore practices at 501 S 54th St, Philadelphia, PA 19143. The listed phone number is (215) 985-2500.
What is Daryn Moore's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Daryn Moore enrolled in Medicare?
Yes. Daryn Moore is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Daryn Moore's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Daryn Moore reassigns Medicare benefits to Public Health Mangement Corporation (Philadelphia, PA). 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 Daryn Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Daryn Moore was last updated on January 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.
# Daryn Moore, CAADC · NPI 1114700465
Mental Health provider in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since August 18, 2023.
## Identity
- **NPI:** 1114700465 (Entity type: Individual)
- **Enumerated:** August 18, 2023
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** PC017264 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 501 S 54TH ST, Philadelphia, PA 19143-1900
- **Phone:** (215) 985-2500
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Public Health Mangement Corporation (NPI 1811568769, Philadelphia, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** January 21, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1114700465) · Data from the CMS NPPES public registry.