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SHANE MOE LMFT
NPI 1558774620
Marriage & Family Therapist in Lakeville, MN

Active since June 06, 2014PECOS EnrolledAccepts Medicare Assignment
7580 160TH ST W, LAKEVILLE, MN 55044(952) 898-1133(952) 435-6797 Get Directions Write a Review

NPPES record last updated: February 7, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 7, 2024, Oct 26, 2017 (2 updates tracked since 2017).

About Shane Moe Lmft NPPES

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

SHANE MOE LMFT (NPI 1558774620) is an individual marriage & family therapist in Lakeville, Minnesota, licensed in Minnesota (2517) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1558774620
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameSHANE MOECredential: LMFT
Location Address7580 160TH ST WLakeville, MN 55044-8348
Mailing Address7580 160th St WLakeville, MN 55044 · (952) 898-1133 · Fax (952) 435-6797
Phone(952) 898-1133
Fax(952) 435-6797
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJune 6, 2014
Last NPPES UpdateFebruary 7, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 20, 2024
✔ NPI 1558774620 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 MN · 2517
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.
7580 160TH ST W, Lakeville, MN 55044
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Providence Health Plan.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

Shane Moe Lmft 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 ID6901249069
PECOS Enrollment IDI20240206003650
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.

LINDA M TUNELL MA
Psychologist
7580 160TH ST W
LAKEVILLE, MN 55044
Dakota County (952) 898-1133
JENNIFER TESSNESS
Counselor (Professional)
7580 160TH ST W
LAKEVILLE, MN 55044
Dakota County (952) 898-1133
CATHERINE ELIZABETH HANSON MA, LPCC
Counselor (Professional)
7580 160TH ST W
LAKEVILLE, MN 55044
Dakota County (952) 898-1133
MS. CINDY FREDERICK LMFT
Marriage & Family Therapist
7580 160TH ST W
LAKEVILLE, MN 55044
Dakota County (952) 898-1133
ERIN BIRD LMFT
Marriage & Family Therapist
7580 160TH ST W
LAKEVILLE, MN 55044
Dakota County (952) 898-1273
ALISON WULF MA, LPCC
Counselor (Professional)
7580 160TH ST W
LAKEVILLE, MN 55044
Dakota County (952) 898-1133
MR. ALAN OLSON LPC LAMFT
Marriage & Family Therapist
7580 160TH ST W
LAKEVILLE, MN 55044
Dakota County (952) 898-1133
HECTOR RENE MATASCASTILLO MSW, LICSW, LSSW
Social Worker (Clinical)
7580 160TH ST W
LAKEVILLE, MN 55044
Dakota County (952) 898-1133

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 Shane Moe's NPI number?

The NPI number for Shane Moe is 1558774620. It was assigned to this individual provider in the NPPES registry on June 6, 2014.

Where is Shane Moe located?

Shane Moe practices at 7580 160th St W, Lakeville, MN 55044. The listed phone number is (952) 898-1133.

What is Shane Moe's specialty?

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

Is Shane Moe enrolled in Medicare?

Yes. Shane Moe 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 Shane Moe accept?

Health plans from HealthPartners and Providence Health Plan list Shane Moe 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 Shane Moe was last updated on February 7, 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.