1. Home
  2. Directory
  3. Washington
  4. Tukwila
  5. Counselor
  6. NPI Profile

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

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: October 18, 2026.

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
Open in Google Maps ↗

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

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.

Medicare Billing Reassignment

Medicare enrollment records show Marissa Moore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cowlitz Indian Tribe
97 mi
Clinic/Center
1044 11TH AVE
Longview, WA 98632
  • Reassigned Medicare billing, Texas enrollment
  • 44 clinicians in this Medicare group
NPI 1740562909 (360) 575-8275

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 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. JENAYA LEE VAN HORN-DOBBERSTEIN LMFT
Marriage & Family Therapist
15455 65TH AVE S
TUKWILA, WA 98188
King County (206) 721-5170
SIGRYD CZEREK WOLFE RN
Registered Nurse
15455 65TH AVE S
TUKWILA, WA 98188
King County (206) 721-5170
MR. PAUL STEPHEN PEIRCE MHC
Counselor (Mental Health)
15455 65TH AVE S
TUKWILA, WA 98188
King County (206) 491-3913
ALICIA DURKIN LICSW-A
Social Worker (Clinical)
15455 65TH AVE S
TUKWILA, WA 98188
King County (206) 721-5170
AMY T. LI RN
Registered Nurse
15455 65TH AVE S
TUKWILA, WA 98188
King County (206) 721-5170
MR. TIMOTHY SETH STUDLEY LMFT
Marriage & Family Therapist
15455 65TH AVE S
TUKWILA, WA 98188
King County (206) 707-5696
CHERYL TERESA CARTER MS, LMHCA, CDPT
Counselor (Addiction (Substance Use Disorder))
15455 65TH AVE S
TUKWILA, WA 98188
King County (206) 721-5170
MR. BRETT DOUGLAS SANDLIN CDPT
Counselor (Addiction (Substance Use Disorder))
15455 65TH AVE S
TUKWILA, WA 98188
King County (206) 721-5170

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 Marissa Moore's NPI number?

The NPI number for Marissa Moore is 1750703898. It was assigned to this individual provider in the NPPES registry on January 8, 2014.

Where is Marissa Moore located?

Marissa Moore practices at 15455 65th Ave S, Tukwila, WA 98188. The listed phone number is (206) 721-5170.

What is Marissa Moore's specialty?

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

Is Marissa Moore enrolled in Medicare?

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

Which organization bills Medicare for Marissa Moore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marissa Moore reassigns Medicare benefits to Cowlitz Indian Tribe (Longview, WA). 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 Marissa Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marissa Moore accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Marissa Moore 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 Marissa Moore was last updated on February 5, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.