MS. HEATHER MOORE
NPI 1174087944
Counselor in Sacramento, CA

Q: What is Heather Moore's NPI number?

The NPI number for Heather Moore is 1174087944. It was assigned to this individual provider in the NPPES registry on January 25, 2019.

Q: What is Heather Moore's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: Is Heather Moore enrolled in Medicare?

No. Heather Moore has opted out of Medicare through May 5, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Heather Moore was last updated on January 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since January 25, 2019Opted out of Medicare · through May 5, 2028

3650 AUBURN BLVD # C208, SACRAMENTO, CA 95821(916) 300-6576 Get Directions Write a Review

NPPES record last updated: January 25, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Ms. Heather Moore NPPES

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

MS. HEATHER MOORE (NPI 1174087944) is an individual counselor in Sacramento, California and active in the NPI registry since January 2019. She has opted out of Medicare through May 5, 2028.

NPPES Registry Identity

NPI1174087944

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameMS. HEATHER MOORE

Location Address3650 AUBURN BLVD # C208Sacramento, CA 95821-2069

Mailing AddressPo Box 2604Rocklin, CA 95677-8462 · (916) 803-2128

Phone(916) 300-6576

Sole ProprietorYes

Enumeration DateJanuary 25, 2019

✔ NPI 1174087944 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

3650 AUBURN BLVD # C208, Sacramento, CA 95821

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ms. Heather Moore has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 5, 2024 through May 5, 2028.

Opt-Out Effective DateMay 5, 2024

Opt-Out In Effect ThroughMay 5, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 11

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

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