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

Active since October 17, 2022PECOS EnrolledAccepts Medicare Assignment
901 S HEWITT DR UNIT 36, HEWITT, TX 76643(254) 644-8883 Get Directions Write a Review

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

Record update history: Aug 18, 2026, Aug 5, 2024, Oct 22, 2022 (3 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 Hewitt, 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 Address901 S HEWITT DR UNIT 36Hewitt, TX 76643-8003
Mailing Address901 S Hewitt Dr Unit 36Hewitt, TX 76643-8003 · (254) 644-8883
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateOctober 17, 2022
Last NPPES UpdateAugust 18, 20263 updates tracked since enumeration
NPPES CertifiedAugust 18, 2026
✔ 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
901 S HEWITT DR UNIT 36, Hewitt, TX 76643

Accepted Insurance

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignment

Medicare enrollment records show Susan Moore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health
3500 HILLCREST DR STE 2B
Waco, TX 76708
  • Reassigned Medicare billing, Texas enrollment
  • 7 clinicians in this Medicare group

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

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

Counselor (Mental Health)
901 S HEWITT DR UNIT 36
HEWITT, TX 76643

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 901 S Hewitt Dr Unit 36, Hewitt, TX 76643. The listed phone number is (254) 644-8883.

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.

Which organization bills Medicare for Susan Moore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susan Moore reassigns Medicare benefits to Etsah Counseling Center, PLLC (Waco, TX). 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 Susan Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Susan Moore accept?

Health plans from Blue Cross and Blue Shield of Texas and UnitedHealthcare 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 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.