MARIAH KATHLEEN MOORE RBT
NPI 1669082806
Counselor - Professional in Temecula, CA
About Mariah Kathleen Moore Rbt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARIAH KATHLEEN MOORE RBT (NPI 1669082806) is an individual professional provider in Temecula, California, licensed in California (18050) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mariah Kathleen Moore Rbt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Mariah Moore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Jose, CA 95113
- Reassigned Medicare billing, California enrollment
- 3,139 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.
TEMECULA, CA 92590
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 Mariah Moore's NPI number?
The NPI number for Mariah Moore is 1669082806. It was assigned to this individual provider in the NPPES registry on August 3, 2020.
Where is Mariah Moore located?
Mariah Moore practices at 27708 Jefferson Ave Ste 103, Temecula, CA 92590. The listed phone number is (951) 465-3664.
What is Mariah Moore's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Mariah Moore enrolled in Medicare?
Yes. Mariah Moore is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Mariah Moore's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mariah Moore reassigns Medicare benefits to Grow Healthcare Group PC (San Jose, CA). 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 Mariah Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Mariah Moore was last updated on December 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.
# Mariah Kathleen Moore, RBT · NPI 1669082806
Professional provider in Temecula, California. Individual provider, active in the CMS NPPES registry since August 3, 2020.
## Identity
- **NPI:** 1669082806 (Entity type: Individual)
- **Enumerated:** August 3, 2020
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 18050 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 27708 JEFFERSON AVE STE 103, Temecula, CA 92590-2641
- **Phone:** (951) 465-3664
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Grow Healthcare Group PC (NPI 1154994846, San Jose, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 16, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1669082806) · Data from the CMS NPPES public registry.