MARISSA MOORE
NPI 1376122606
Counselor - Mental Health in Denver, CO

Active since April 05, 2021
7779 MARTIN LUTHER KING BLVD, DENVER, CO 80238(303) 785-6635 Get Directions Write a Review

NPPES record last updated: April 5, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Marissa Moore NPPES

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

MARISSA MOORE (NPI 1376122606) is an individual mental health provider in Denver, Colorado, licensed in Colorado (LPCC.0018049) and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1376122606
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMARISSA MOORE
Location Address7779 MARTIN LUTHER KING BLVDDenver, CO 80238-3802
Mailing Address7779 Martin Luther King BlvdDenver, CO 80238-3802
Sole ProprietorNo
Enumeration DateApril 5, 2021
NPPES CertifiedApril 5, 2021
NPI 1376122606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in CO · LPCC.0018049
7779 MARTIN LUTHER KING BLVD, Denver, CO 80238

Other Identifiers 1

Medicaid9000187286CO

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 Marissa Moore's NPI number?

The NPI number for Marissa Moore is 1376122606. It was assigned to this individual provider in the NPPES registry on April 5, 2021.

Where is Marissa Moore located?

Marissa Moore practices at 7779 Martin Luther King Blvd, Denver, CO 80238. The listed phone number is (303) 785-6635.

What is Marissa Moore's specialty?

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

When was this NPI record last updated?

The NPPES record for Marissa Moore was last updated on April 5, 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.