AMANDA L MOE MS., LPCC
NPI 1255680740
Counselor - Professional in Albuquerque, NM

Active since August 30, 2012PECOS EnrolledAccepts Medicare Assignment
4304 CARLISLE BLVD NE, ALBUQUERQUE, NM 87107(505) 750-0405 Get Directions Write a Review

NPPES record last updated: January 26, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Sep 1, 2017 (2 updates tracked since 2017).

About Amanda L Moe Ms., Lpcc NPPES

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

AMANDA L MOE MS., LPCC (NPI 1255680740) is an individual professional provider in Albuquerque, New Mexico, licensed in New Mexico (CCMH0184171) and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1255680740
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameAMANDA L MOECredential: MS., LPCC
Location Address4304 CARLISLE BLVD NEAlbuquerque, NM 87107-4811
Mailing Address6300 Riverside Plaza Ln Nw Ste 100Albuquerque, NM 87120-1908 · (505) 750-0405
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateAugust 30, 2012
Last NPPES UpdateJanuary 26, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 26, 2025
NPI 1255680740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in NM · CCMH0184171
4304 CARLISLE BLVD NE, Albuquerque, NM 87107

Secondary Practice Locations 2

Location 16300 Riverside Plaza Ln NW Ste 100Albuquerque, NM 87120-1908 · Phone (505) 750-0405
Location 26501 4th St NW Ste HLos Ranchos, NM 87107-5800 · Phone (505) 750-0405

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Amanda L Moe Ms., Lpcc 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 ID9234659855
PECOS Enrollment IDI20250404002263
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 17

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

Physician Assistant
4304 CARLISLE BLVD NE
ALBUQUERQUE, NM 87107
Hospitalist
4304 CARLISLE BLVD NE
ALBUQUERQUE, NM 87107
Social Worker
4304 CARLISLE BLVD NE
ALBUQUERQUE, NM 87107
Social Worker
4304 CARLISLE BLVD NE
ALBUQUERQUE, NM 87107
Counselor (Professional)
4304 CARLISLE BLVD NE
ALBUQUERQUE, NM 87107
Counselor (Professional)
4304 CARLISLE BLVD NE
ALBUQUERQUE, NM 87107
Counselor (Professional)
4304 CARLISLE BLVD NE
ALBUQUERQUE, NM 87107
Counselor (Professional)
4304 CARLISLE BLVD NE
ALBUQUERQUE, NM 87107

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 Amanda Moe's NPI number?

The NPI number for Amanda Moe is 1255680740. It was assigned to this individual provider in the NPPES registry on August 30, 2012.

Where is Amanda Moe located?

Amanda Moe practices at 4304 Carlisle Blvd NE, Albuquerque, NM 87107. The listed phone number is (505) 750-0405.

What is Amanda Moe's specialty?

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

Is Amanda Moe enrolled in Medicare?

Yes. Amanda Moe 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.

When was this NPI record last updated?

The NPPES record for Amanda Moe was last updated on January 26, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.