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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SUSAN MOORE LMFT, LPCC
NPI 1760183693
Marriage & Family Therapist in Vacaville, CA

Active since March 16, 2023PECOS EnrolledAccepts Medicare Assignment
401 BOYD ST, VACAVILLE, CA 95688(707) 266-6066(707) 266-9980 Get Directions Write a Review

NPPES record last updated: August 29, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 29, 2026, Mar 16, 2023 (2 updates tracked since 2023).

About Susan Moore Lmft, Lpcc NPPES

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

SUSAN MOORE LMFT, LPCC (NPI 1760183693) is an individual marriage & family therapist in Vacaville, California, licensed in California (156639) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1760183693
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameSUSAN MOORECredential: LMFT, LPCC
Location Address401 BOYD STVacaville, CA 95688-4521
Mailing Address401 Boyd StVacaville, CA 95688-4521 · (707) 266-6066 · Fax (707) 266-9980
Phone(707) 266-6066
Fax(707) 266-9980
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMarch 16, 2023
Last NPPES UpdateAugust 29, 20262 updates tracked since enumeration
NPPES CertifiedAugust 29, 2026
✔ NPI 1760183693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 156639
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 23629 (CA)
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 23629 (CA)
401 BOYD ST, Vacaville, CA 95688
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11508 F StSacramento, CA 95814-1609 · Phone (707) 266-6066 · Fax (707) 266-9980
Location 22137 Misty Oaks CtFairfield, CA 94534-7973 · Phone (707) 266-6066 · Fax (707) 266-9980

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Susan Moore Lmft, Lpcc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2668956897
PECOS Enrollment IDI20260325001868
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 Susan Moore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Susan Moore Marriage And Family Therapy Inc
Same address
Marriage & Family Therapist
401 BOYD ST
Vacaville, CA 95688
  • Reassigned Medicare billing, California enrollment
NPI 1801768445 (707) 266-6066

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 2

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

SECOND WIND PROFESSIONAL CLINICAL COUNSELOR INC
Counselor (Professional)
401 BOYD ST
VACAVILLE, CA 95688
Solano County (530) 966-8144
SUSAN MOORE MARRIAGE AND FAMILY THERAPY INC
Marriage & Family Therapist
401 BOYD ST
VACAVILLE, CA 95688
Solano County (707) 266-6066

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 Susan Moore's NPI number?

The NPI number for Susan Moore is 1760183693. It was assigned to this individual provider in the NPPES registry on March 16, 2023.

Where is Susan Moore located?

Susan Moore practices at 401 Boyd St, Vacaville, CA 95688. The listed phone number is (707) 266-6066.

What is Susan Moore's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Susan Moore enrolled in Medicare?

Yes. Susan Moore is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Susan Moore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susan Moore reassigns Medicare benefits to Susan Moore Marriage And Family Therapy Inc (Vacaville, 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 Susan 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 Susan Moore was last updated on August 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 52 days 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.