MARISSA MOORE LMHCA
NPI 1750703898
Counselor - Mental Health in Tukwila, WA

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

Active since January 08, 2014PECOS Enrolled

15455 65TH AVE S, TUKWILA, WA 98188(206) 721-5170(206) 721-6288 Get Directions Write a Review

NPPES record last updated: February 5, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Marissa Moore Lmhca NPPES

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

MARISSA MOORE LMHCA (NPI 1750703898) is an individual mental health provider in Tukwila, Washington, licensed in Washington (MC60390441) and active in the NPI registry since January 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750703898

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameMARISSA MOORECredential: LMHCA

Location Address15455 65TH AVE STukwila, WA 98188-2534

Mailing AddressPo Box 2429Longview, WA 98632-8486 · (206) 466-5013 · Fax (206) 721-6288

Phone(206) 721-5170

Fax(206) 721-6288

Sole ProprietorNo

Enumeration DateJanuary 8, 2014

Last NPPES UpdateFebruary 5, 2014

✔ NPI 1750703898 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 · MC60390441

15455 65TH AVE S, Tukwila, WA 98188

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Enrolled in Medicare (PECOS)

Marissa Moore Lmhca 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.