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SAMUEL THOMAS MOORE M.ED
NPI 1376156943
Counselor - Professional in Thornton, CO

Active since August 25, 2020PECOS Enrolled
8931 HURON ST, THORNTON, CO 80260(303) 853-3500 Get Directions Write a Review

NPPES record last updated: August 25, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Samuel Thomas Moore M.ed NPPES

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

SAMUEL THOMAS MOORE M.ED (NPI 1376156943) is an individual professional provider in Thornton, Colorado, licensed in Colorado (LPC.0016398) and active in the NPI registry since August 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376156943
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameSAMUEL THOMAS MOORECredential: M.ED
Location Address8931 HURON STThornton, CO 80260-6806
Mailing Address9943 E Alabama Cir Apt 1426Aurora, CO 80247-6361 · (918) 949-8245
Phone(303) 853-3500
Sole ProprietorYes
Enumeration DateAugust 25, 2020
NPPES CertifiedAugust 25, 2020
✔ NPI 1376156943 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 CO · LPC.0016398
8931 HURON ST, Thornton, CO 80260
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samuel Thomas Moore M.ed 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 Samuel Moore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Care Center, LLC
74 mi
Mental Health (Including Community Mental Health Center)
2860 S CIRCLE DR STE 109
Colorado Springs, CO 80906
  • Reassigned Medicare billing, Colorado enrollment
  • 400 clinicians in this Medicare group
NPI 1790141984 (719) 540-2100

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.

TIFFANY T NGUYEN
Counselor (Mental Health)
8931 HURON ST
THORNTON, CO 80260
Adams County (303) 853-3500
CAMERON C JAMES LMSW
Social Worker (Clinical)
8931 HURON ST
THORNTON, CO 80260
Adams County (303) 853-3500
WHITNEY STAATS
Nurse Practitioner (Psychiatric/Mental Health)
8931 HURON ST
THORNTON, CO 80260
Adams County (303) 853-3500
STEFANIE TURK
Counselor (Mental Health)
8931 HURON ST
THORNTON, CO 80260
Adams County (303) 853-3500
HAYDN ABBOTT BS, RN
Registered Nurse
8931 HURON ST
THORNTON, CO 80260
Adams County (303) 853-3500
ERICA LEE LEONE MSW, LSW
Social Worker
8931 HURON ST
THORNTON, CO 80260
Adams County (303) 853-3612
TARA LYNN HEFTY
Counselor (Mental Health)
8931 HURON ST
THORNTON, CO 80260
Adams County (303) 853-3500
ANNE HADAWAY
Counselor (Mental Health)
8931 HURON ST
THORNTON, CO 80260
Adams County (303) 853-3540

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 Samuel Moore's NPI number?

The NPI number for Samuel Moore is 1376156943. It was assigned to this individual provider in the NPPES registry on August 25, 2020.

Where is Samuel Moore located?

Samuel Moore practices at 8931 Huron St, Thornton, CO 80260. The listed phone number is (303) 853-3500.

What is Samuel Moore's specialty?

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

Is Samuel Moore enrolled in Medicare?

Yes. Samuel Moore is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Samuel Moore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Moore reassigns Medicare benefits to Family Care Center, LLC (Colorado Springs, CO). 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 Samuel Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samuel Moore accept?

Health plans from Select Health list Samuel 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 Samuel Moore was last updated on August 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.