VIRGINIA MOORE
NPI 1679960082
Counselor - Mental Health in Spokane, WA

Active since April 23, 2015Opted out of Medicare · through Jan 22, 2027
522 W RIVERSIDE AVE STE N, SPOKANE, WA 99201(425) 954-3194 Get Directions Write a Review

NPPES record last updated: May 1, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 1, 2026, May 20, 2025, Sep 7, 2022 and 2 more (5 updates tracked since 2022).

About Virginia Moore NPPES

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

VIRGINIA MOORE (NPI 1679960082) is an individual mental health provider in Spokane, Washington, licensed in Washington (61597872) and active in the NPI registry since April 2015. She has opted out of Medicare through January 22, 2027.

NPPES Registry Identity

NPI1679960082
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameVIRGINIA MOORE
Location Address522 W RIVERSIDE AVE STE NSpokane, WA 99201-0581
Mailing Address19980 10th Ave Ne Ste 204gPoulsbo, WA 98370-6431
Sole ProprietorYes
Enumeration DateApril 23, 2015
Last NPPES UpdateMay 1, 20265 updates tracked since enumeration
NPPES CertifiedMay 1, 2026
NPI 1679960082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in WA · 61597872
522 W RIVERSIDE AVE STE N, Spokane, WA 99201

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Virginia Moore has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 22, 2025 through January 22, 2027.

Opt-Out Effective DateJanuary 22, 2025
Opt-Out In Effect ThroughJanuary 22, 2027Opt-out affidavits renew automatically every two years unless cancelled

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.

Clinic/Center (Adult Mental Health)
522 W RIVERSIDE AVE STE N
SPOKANE, WA 99201
Nurse Practitioner (Psychiatric/Mental Health)
522 W RIVERSIDE AVE STE N
SPOKANE, WA 99201
Nurse Practitioner (Psychiatric/Mental Health)
522 W RIVERSIDE AVE STE N
SPOKANE, WA 99201
Non-emergency Medical Transport (VAN)
522 W RIVERSIDE AVE STE N
SPOKANE, WA 99201
Clinic/Center (Mental Health (Including Community Mental Health Center))
522 W RIVERSIDE AVE STE N
SPOKANE, WA 99201
Community/Behavioral Health
522 W RIVERSIDE AVE STE N
SPOKANE, WA 99201
Family Medicine
522 W RIVERSIDE AVE STE N
SPOKANE, WA 99201
Case Management
522 W RIVERSIDE AVE STE N
SPOKANE, WA 99201

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 Virginia Moore's NPI number?

The NPI number for Virginia Moore is 1679960082. It was assigned to this individual provider in the NPPES registry on April 23, 2015.

Where is Virginia Moore located?

Virginia Moore practices at 522 W Riverside Ave Ste N, Spokane, WA 99201. The listed phone number is (425) 954-3194.

What is Virginia Moore's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Virginia Moore enrolled in Medicare?

No. Virginia Moore has opted out of Medicare through January 22, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Virginia Moore was last updated on May 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.