SUZANNE MOINEAU LMFT
NPI 1417194960
Marriage & Family Therapist in Lakeport, CA

Q: What is Suzanne Moineau's NPI number?

The NPI number for Suzanne Moineau is 1417194960. It was assigned to this individual provider in the NPPES registry on January 20, 2009.

Q: What is Suzanne Moineau's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Suzanne Moineau was last updated on August 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 January 20, 2009PECOS Enrolled

925 BEVINS CT, LAKEPORT, CA 95453(707) 263-8382(707) 263-0329 Get Directions Write a Review

NPPES record last updated: August 1, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Suzanne Moineau Lmft NPPES

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

SUZANNE MOINEAU LMFT (NPI 1417194960) is an individual marriage & family therapist in Lakeport, California, licensed in California (40196) and active in the NPI registry since January 2009. She is enrolled in Medicare PECOS, maintains a secondary practice location in Clearlake, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1417194960

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameSUZANNE MOINEAUCredential: LMFT

Location Address925 BEVINS CTLakeport, CA 95453-9754

Mailing AddressPo Box 1950Lakeport, CA 95453-1950 · (707) 263-8382 · Fax (707) 263-0329

Phone(707) 263-8382

Fax(707) 263-0329

Sole ProprietorNo

Medical School CMSOtherGraduated 1992

Enumeration DateJanuary 20, 2009

Last NPPES UpdateAugust 1, 2025

NPPES CertifiedAugust 1, 2025

✔ NPI 1417194960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · 40196

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

925 BEVINS CT, Lakeport, CA 95453

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Secondary Practice Location 1

Location 114440 Olympic DrClearlake, CA 95422-8809 · Phone (707) 533-2760 · Fax (707) 263-0329

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Suzanne Moineau Lmft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7113468364

PECOS Enrollment IDI20240916002212

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

Lake County Tribal Health Consortium Inc.

Same address

Federally Qualified Health Center (FQHC)

925 BEVINS CT
Lakeport, CA 95453

Reassigned Medicare billing, California enrollment
59 clinicians in this Medicare group

NPI 1881697381 (707) 263-8382

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.

MERRILL FEATHERSTONE MFC

Counselor (Mental Health)