CHERYLYNN ANDRES MOSER LPC, LAT
NPI 1205390739
Counselor - Professional in Portland, OR

Active since January 29, 2019PECOS EnrolledAccepts Medicare Assignment
9155 SW BARNES RD STE 634, PORTLAND, OR 97225(503) 216-6662(503) 216-1101 Get Directions Write a Review

NPPES record last updated: September 30, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 30, 2024, Jun 14, 2019, Jan 29, 2019 (3 updates tracked since 2019).

About Cherylynn Andres Moser Lpc, Lat NPPES

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

CHERYLYNN ANDRES MOSER LPC, LAT (NPI 1205390739) is an individual professional provider in Portland, Oregon, licensed in Oregon (C6535) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1205390739
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameCHERYLYNN ANDRES MOSERCredential: LPC, LAT
Location Address9155 SW BARNES RD STE 634Portland, OR 97225-6632
Mailing Address9155 Sw Barnes Rd Ste 634Portland, OR 97225-6632 · (503) 216-6662 · Fax (503) 216-1101
Fax(503) 216-1101
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJanuary 29, 2019
Last NPPES UpdateSeptember 30, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2024
✔ NPI 1205390739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in OR · C6535
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License C6535 (OR)
9155 SW BARNES RD STE 634, Portland, OR 97225

Other Identifiers 3

OtherR5811OR · Professional Counseling Registered Intern
OtherT-10217775OR · Licensed Art Therapist
Other20-355Art Therapy Credentials Board

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

Cherylynn Andres Moser Lpc, Lat 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.

PECOS PAC ID2163874413
PECOS Enrollment IDI20240123000595
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 Cherylynn Moser reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical
2420 S UNION AVE
Tacoma, WA 98405
  • Reassigned Medicare billing, Oregon enrollment
  • 314 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 9

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

Social Worker (Clinical)
9155 SW BARNES RD STE 634
PORTLAND, OR 97225
Specialist
9155 SW BARNES RD STE 634
PORTLAND, OR 97225
Social Worker (Clinical)
9155 SW BARNES RD STE 634
PORTLAND, OR 97225
Social Worker (Clinical)
9155 SW BARNES RD STE 634
PORTLAND, OR 97225
Counselor (Professional)
9155 SW BARNES RD STE 634
PORTLAND, OR 97225
Social Worker (Clinical)
9155 SW BARNES RD STE 634
PORTLAND, OR 97225
Clinical Neuropsychologist
9155 SW BARNES RD STE 634
PORTLAND, OR 97225
Social Worker (Clinical)
9155 SW BARNES RD STE 634
PORTLAND, OR 97225

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 Cherylynn Moser's NPI number?

The NPI number for Cherylynn Moser is 1205390739. It was assigned to this individual provider in the NPPES registry on January 29, 2019.

Where is Cherylynn Moser located?

Cherylynn Moser practices at 9155 SW Barnes Rd Ste 634, Portland, OR 97225. The listed phone number is (503) 216-6662.

What is Cherylynn Moser's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Cherylynn Moser enrolled in Medicare?

Yes. Cherylynn Moser 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 organization bills Medicare for Cherylynn Moser's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cherylynn Moser reassigns Medicare benefits to Western Psychological And Counseling Services LLC (Tacoma, WA). 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 Cherylynn Moser's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Cherylynn Moser accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., PacificSource Health Plans and Regence BlueCross BlueShield of Oregon list Cherylynn Moser 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 Cherylynn Moser was last updated on September 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.