MICHAL SIERRA MOORE LPC
NPI 1417492851
Counselor in Beaverton, OR

Active since December 20, 2016PECOS Enrolled
1500 NW BETHANY BLVD STE 320, BEAVERTON, OR 97006(503) 233-5405 Get Directions Write a Review

NPPES record last updated: March 6, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 6, 2024, Aug 19, 2022, Dec 20, 2016 (3 updates tracked since 2016).

About Michal Sierra Moore Lpc NPPES

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

MICHAL SIERRA MOORE LPC (NPI 1417492851) is an individual counselor in Beaverton, Oregon, licensed in Oregon (C7904) and active in the NPI registry since December 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417492851
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMICHAL SIERRA MOORECredential: LPC
Location Address1500 NW BETHANY BLVD STE 320Beaverton, OR 97006-5238
Mailing Address20300 Se Morrison Ter Apt F2039Gresham, OR 97030-2274 · (650) 382-9218
Sole ProprietorNo
Enumeration DateDecember 20, 2016
Last NPPES UpdateMarch 6, 20243 updates tracked since enumeration
NPPES CertifiedMarch 6, 2024
NPI 1417492851 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Licenses Licensed in OR · C7904 Licensed in OR · R7792
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Also ListedBehavior AnalystTaxonomy 103K00000X
1500 NW BETHANY BLVD STE 320, Beaverton, OR 97006

Other Names 1

Former Name (1)Michal Dedrick Lpca

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Michal Sierra Moore 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.

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.

Counselor (Mental Health)
1500 NW BETHANY BLVD STE 320
BEAVERTON, OR 97006
Counselor (Professional)
1500 NW BETHANY BLVD STE 320
BEAVERTON, OR 97006
Counselor (Addiction (Substance Use Disorder))
1500 NW BETHANY BLVD STE 320
BEAVERTON, OR 97006
Counselor (Mental Health)
1500 NW BETHANY BLVD STE 320
BEAVERTON, OR 97006
Counselor (Professional)
1500 NW BETHANY BLVD STE 320
BEAVERTON, OR 97006
Psychologist (Clinical)
1500 NW BETHANY BLVD STE 320
BEAVERTON, OR 97006
Social Worker (Clinical)
1500 NW BETHANY BLVD STE 320
BEAVERTON, OR 97006
Social Worker (Clinical)
1500 NW BETHANY BLVD STE 320
BEAVERTON, OR 97006

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 Michal Moore's NPI number?

The NPI number for Michal Moore is 1417492851. It was assigned to this individual provider in the NPPES registry on December 20, 2016. The provider is also known as Michal Dedrick Lpca.

Where is Michal Moore located?

Michal Moore practices at 1500 NW Bethany Blvd Ste 320, Beaverton, OR 97006. The listed phone number is (503) 233-5405.

What is Michal Moore's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Michal Moore enrolled in Medicare?

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

What insurance does Michal Moore accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan and 1 other insurer list Michal 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 Michal Moore was last updated on March 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.