PAMELA MORENO LPC
NPI 1306540372
Counselor - Mental Health in Phoenix, AZ

Q: What is Pamela Moreno's NPI number?

The NPI number for Pamela Moreno is 1306540372. It was assigned to this individual provider in the NPPES registry on March 27, 2023.

Q: What is Pamela Moreno's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Pamela Moreno was last updated on May 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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 March 27, 2023PECOS Enrolled

4131 N 24TH ST STE B102, PHOENIX, AZ 85016(480) 882-4545(602) 903-7091 Get Directions Write a Review

NPPES record last updated: May 29, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 29, 2025, Nov 20, 2024, Mar 27, 2023 (3 updates tracked since 2023).

On this page

About Pamela Moreno Lpc NPPES

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

PAMELA MORENO LPC (NPI 1306540372) is an individual mental health provider in Phoenix, Arizona, licensed in Arizona (LPC23300) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306540372

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NamePAMELA MORENOCredential: LPC

Location Address4131 N 24TH ST STE B102Phoenix, AZ 85016-6231

Mailing Address7500 N Dreamy Draw Dr Ste 145Phoenix, AZ 85020-4668 · (480) 882-4545

Phone(480) 882-4545

Fax(602) 903-7091

Sole ProprietorNo

Enumeration DateMarch 27, 2023

Last NPPES UpdateMay 29, 20253 updates tracked since enumeration

NPPES CertifiedMay 29, 2025

✔ NPI 1306540372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in AZ · LPC23300

Also ListedCounselorTaxonomy 101Y00000X · License LAC-13775 (AZ)

4131 N 24TH ST STE B102, Phoenix, AZ 85016

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Blue Cross Blue Shield of Arizona and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pamela Moreno Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Pamela Moreno reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Neighborhood Outreach Access To Health

Same address

Federally Qualified Health Center (FQHC)

4131 N 24TH ST STE B102
Phoenix, AZ 85016

Reassigned Medicare billing, Arizona enrollment
119 clinicians in this Medicare group

NPI 1265979850 (602) 906-3740

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 20

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

WAYNE ALBERT DAVIS D.O.

Family Medicine