LILYAN CHARLOTTE RUSSEL SMITH-MOORE M.ED.
NPI 1205378858
Counselor - Mental Health in Portland, OR
About Lilyan Charlotte Russel Smith-moore M.ed. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LILYAN CHARLOTTE RUSSEL SMITH-MOORE M.ED. (NPI 1205378858) is an individual mental health provider in Portland, Oregon, licensed in Oregon (C4955) and active in the NPI registry since November 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Portland, and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Lilyan Charlotte Russel Smith-moore M.ed. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Lilyan Smith-moore reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Portland, OR 97205
- Reassigned Medicare billing, Oregon enrollment
- 2 clinicians in this Medicare group
Portland, OR 97232
- Reassigned Medicare billing, Oregon enrollment
- 79 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.
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 Lilyan Smith-moore's NPI number?
The NPI number for Lilyan Smith-moore is 1205378858. It was assigned to this individual provider in the NPPES registry on November 14, 2016.
Where is Lilyan Smith-moore located?
Lilyan Smith-moore practices at 101 SW Madison St. Unit 9152, Portland, OR 97204. The listed phone number is (971) 373-4497.
What is Lilyan Smith-moore's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Lilyan Smith-moore enrolled in Medicare?
Yes. Lilyan Smith-moore is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Lilyan Smith-moore's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lilyan Smith-moore reassigns Medicare benefits to 2 organizations: Spectrum Counseling And Mental Wellness (Portland, OR) and Cascadia Health (Portland, OR). Each 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 Lilyan Smith-moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Lilyan Smith-moore accept?
Health plans from Moda Health Plan, Inc. list Lilyan Smith-moore 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 Lilyan Smith-moore was last updated on March 11, 2021. 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.
# Lilyan Charlotte Russel Smith-Moore, M.ED. · NPI 1205378858
Mental Health provider in Portland, Oregon. Individual provider, active in the CMS NPPES registry since November 14, 2016.
## Identity
- **NPI:** 1205378858 (Entity type: Individual)
- **Enumerated:** November 14, 2016
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** C4955 (Oregon)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 101 SW MADISON ST., UNIT 9152, Portland, OR 97204-3264
- **Phone:** (971) 373-4497
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Spectrum Counseling And Mental Wellness (NPI 1275123762, Portland, OR); Cascadia Health (NPI 1336196401, Portland, OR) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** March 11, 2021
- **Other identifiers:** Medicaid 500725324 (OR)
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Source: [NPI Profile](https://npiprofile.com/npi/1205378858) · Data from the CMS NPPES public registry.