ANDREA G MOORE-EMMETT LMFT - NPI 1164739595 - Marriage & Family Therapist in Rancho Cucamonga, CA

Q: What is Andrea Moore-emmett's NPI number?

The NPI number for Andrea Moore-emmett is 1164739595. It was assigned to this individual provider in the NPPES registry on September 7, 2010.

Q: What is Andrea Moore-emmett's specialty?

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

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About Andrea G Moore-emmett Lmft NPPES

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

ANDREA G MOORE-EMMETT LMFT (NPI 1164739595) is an individual marriage & family therapist in Rancho Cucamonga, California, licensed in California (97170) and active in the NPI registry since September 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1164739595

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameANDREA G MOORE-EMMETTCredential: LMFT

Location Address9330 BASELINE RD STE 102Rancho Cucamonga, CA 91701

Mailing Address9330 Baseline Rd Ste 102Rancho Cucamonga, CA 91701-5827 · (909) 303-0960 · Fax (877) 560-5695

Phone(909) 303-0960

Fax(877) 560-5695

Sole ProprietorYes

Medical School CMSOtherGraduated 2011

Enumeration DateSeptember 7, 2010

Last NPPES UpdateAugust 31, 20183 updates tracked since enumeration

✔ NPI 1164739595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · 97170

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.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 97170 (CA)

9330 BASELINE RD STE 102, Rancho Cucamonga, CA 91701

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Other Identifiers 1

Medicaid1164739595CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrea G Moore-emmett Lmft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1951819911

PECOS Enrollment IDI20250801002150

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 6

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

JENNIFER LYNNE NASH-NAIYER

Marriage & Family Therapist