1. Home
  2. Directory
  3. Texas
  4. San Antonio
  5. Counselor
  6. NPI Profile

STACY MOORE
NPI 1457285389
Counselor - Professional in San Antonio, TX

Active since June 08, 2026PECOS Enrolled
1777 NE LOOP 410 STE 825, SAN ANTONIO, TX 78217(214) 530-0021(214) 530-0021 Get Directions Write a Review

NPPES record last updated: June 8, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Stacy Moore NPPES

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

STACY MOORE (NPI 1457285389) is an individual professional provider in San Antonio, Texas, licensed in Texas (95637) and active in the NPI registry since June 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457285389
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSTACY MOORE
Location Address1777 NE LOOP 410 STE 825San Antonio, TX 78217-5248
Mailing Address8150 N Central Expy Ste 1625Dallas, TX 75206-1806 · (214) 530-0021 · Fax (214) 530-0021
Phone(214) 530-0021
Fax(214) 530-0021
Sole ProprietorNo
Enumeration DateJune 8, 2026
NPPES CertifiedJune 8, 2026
✔ NPI 1457285389 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 TX · 95637
1777 NE LOOP 410 STE 825, San Antonio, TX 78217
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stacy Moore 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.

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 Stacy Moore's NPI number?

The NPI number for Stacy Moore is 1457285389. It was assigned to this individual provider in the NPPES registry on June 8, 2026.

Where is Stacy Moore located?

Stacy Moore practices at 1777 NE Loop 410 Ste 825, San Antonio, TX 78217. The listed phone number is (214) 530-0021.

What is Stacy Moore's specialty?

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

Is Stacy Moore enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Stacy Moore was last updated on June 8, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.