SUSAN LYNETTE MOORE
NPI 1467178020
Counselor - Professional in Nacogdoches, TX

Active since October 17, 2022PECOS EnrolledAccepts Medicare Assignment
3524 NE STALLINGS DR, NACOGDOCHES, TX 75965(936) 560-6855(936) 564-5232 Get Directions Write a Review

NPPES record last updated: August 5, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 5, 2024, Oct 22, 2022 (2 updates tracked since 2022).

About Susan Lynette Moore NPPES

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

SUSAN LYNETTE MOORE (NPI 1467178020) is an individual professional provider in Nacogdoches, Texas, licensed in Texas (81860) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1467178020
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSUSAN LYNETTE MOORE
Location Address3524 NE STALLINGS DRNacogdoches, TX 75965-8728
Mailing Address3524 Ne Stallings DrNacogdoches, TX 75965-8728 · (936) 560-6855 · Fax (936) 564-5232
Fax(936) 564-5232
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateOctober 17, 2022
Last NPPES UpdateAugust 5, 20242 updates tracked since enumeration
NPPES CertifiedAugust 5, 2024
NPI 1467178020 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 · 81860
3524 NE STALLINGS DR, Nacogdoches, TX 75965

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 and accepts Medicare assignment

Susan Lynette Moore is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9436692720
PECOS Enrollment IDI20240614001212
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 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
3524 NE STALLINGS DR
NACOGDOCHES, TX 75965
Counselor (Mental Health)
3524 NE STALLINGS DR
NACOGDOCHES, TX 75965
Social Worker (Clinical)
3524 NE STALLINGS DR
NACOGDOCHES, TX 75965
Counselor (Professional)
3524 NE STALLINGS DR
NACOGDOCHES, TX 75965
Social Worker (Clinical)
3524 NE STALLINGS DR
NACOGDOCHES, TX 75965
Counselor (Professional)
3524 NE STALLINGS DR
NACOGDOCHES, TX 75965
Counselor (Professional)
3524 NE STALLINGS DR
NACOGDOCHES, TX 75965
Counselor (Professional)
3524 NE STALLINGS DR
NACOGDOCHES, TX 75965

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 Susan Moore's NPI number?

The NPI number for Susan Moore is 1467178020. It was assigned to this individual provider in the NPPES registry on October 17, 2022.

Where is Susan Moore located?

Susan Moore practices at 3524 NE Stallings Dr, Nacogdoches, TX 75965. The listed phone number is (936) 560-6855.

What is Susan Moore's specialty?

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

Is Susan Moore enrolled in Medicare?

Yes. Susan Moore is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Susan Moore accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Susan 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 Susan Moore was last updated on August 5, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.