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AMANDA MOORE LPC
NPI 1750152203
Counselor - Professional in Idaho Falls, ID

Active since January 12, 2024PECOS Enrolled
855 N CAPITAL AVE STE 1, IDAHO FALLS, ID 83402(208) 552-0855 Get Directions Write a Review

NPPES record last updated: January 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Amanda Moore Lpc NPPES

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

AMANDA MOORE LPC (NPI 1750152203) is an individual professional provider in Idaho Falls, Idaho, licensed in Idaho (10116) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750152203
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameAMANDA MOORECredential: LPC
Location Address855 N CAPITAL AVE STE 1Idaho Falls, ID 83402-3405
Mailing Address2195 Logan DrIdaho Falls, ID 83401-4404 · (208) 357-8909
Phone(208) 552-0855
Sole ProprietorYes
Enumeration DateJanuary 12, 2024
NPPES CertifiedJanuary 12, 2024
✔ NPI 1750152203 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 ID · 10116
855 N CAPITAL AVE STE 1, Idaho Falls, ID 83402
Open in Google Maps ↗

Other Names 1

Other Name (5)Amanda Moore Sasser Lpc

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda Moore Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

INEZ BRUNSON
Case Manager/Care Coordinator
855 N CAPITAL AVE STE 1
IDAHO FALLS, ID 83402
Bonneville County (208) 552-0855
PAULA BROWN
Case Manager/Care Coordinator
855 N CAPITAL AVE STE 1
IDAHO FALLS, ID 83402
Bonneville County (208) 552-0855
CHARITY NOE
Case Manager/Care Coordinator
855 N CAPITAL AVE STE 1
IDAHO FALLS, ID 83402
Bonneville County (208) 552-0855
ADRIAN BUTIKOFER
Peer Specialist
855 N CAPITAL AVE STE 1
IDAHO FALLS, ID 83402
Bonneville County (208) 552-0855
AMBER PICHINTE
Peer Specialist
855 N CAPITAL AVE STE 1
IDAHO FALLS, ID 83402
Bonneville County (208) 552-0855
COLA ANDERSON
Case Manager/Care Coordinator
855 N CAPITAL AVE STE 1
IDAHO FALLS, ID 83402
Bonneville County (208) 552-0855
MERRILL PAGE
Case Manager/Care Coordinator
855 N CAPITAL AVE STE 1
IDAHO FALLS, ID 83402
Bonneville County (208) 552-0855
DALLIN KERSEY
Case Manager/Care Coordinator
855 N CAPITAL AVE STE 1
IDAHO FALLS, ID 83402
Bonneville County (208) 552-0855

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 Amanda Moore's NPI number?

The NPI number for Amanda Moore is 1750152203. It was assigned to this individual provider in the NPPES registry on January 12, 2024. The provider is also known as Amanda Moore Sasser Lpc.

Where is Amanda Moore located?

Amanda Moore practices at 855 N Capital Ave Ste 1, Idaho Falls, ID 83402. The listed phone number is (208) 552-0855.

What is Amanda Moore's specialty?

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

Is Amanda Moore enrolled in Medicare?

Yes. Amanda Moore is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Amanda Moore was last updated on January 12, 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.