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KAYLA ASHLEY MOORE LAC
NPI 1790568079
Counselor - Addiction (Substance Use Disorder) in Fort Collins, CO

Active since August 18, 2023PECOS EnrolledAccepts Medicare Assignment
4856 INNOVATION DR, FORT COLLINS, CO 80525(970) 494-4200(844) 270-1824 Get Directions Write a Review

NPPES record last updated: March 10, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 10, 2025, Nov 8, 2024, Aug 18, 2023 (3 updates tracked since 2023).

About Kayla Ashley Moore Lac NPPES

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

KAYLA ASHLEY MOORE LAC (NPI 1790568079) is an individual addiction (substance use disorder) provider in Fort Collins, Colorado, licensed in Colorado (ACD.0002622) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1790568079
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameKAYLA ASHLEY MOORECredential: LAC
Location Address4856 INNOVATION DRFort Collins, CO 80525-5539
Mailing Address4856 Innovation DrFort Collins, CO 80525-5539 · (970) 494-4200 · Fax (844) 270-1824
Phone(970) 494-4200
Fax(844) 270-1824
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 18, 2023
Last NPPES UpdateMarch 10, 20253 updates tracked since enumeration
NPPES CertifiedMarch 10, 2025
✔ NPI 1790568079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CO · ACD.0002622
Also ListedDriverTaxonomy 172A00000X
4856 INNOVATION DR, Fort Collins, CO 80525
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kayla Ashley Moore Lac 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 ID1153850920
PECOS Enrollment IDI20250123000730
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.

KOKI ADACHI BA
Case Manager/Care Coordinator
4856 INNOVATION DR
FORT COLLINS, CO 80525
Larimer County (970) 494-4200
DR. JOSEPH MESSER PHARMD
Pharmacist
4856 INNOVATION DR
FORT COLLINS, CO 80525
Larimer County (970) 494-4200
ANDREA STRAYER LCSW, CAC II, MSW
Social Worker (Clinical)
4856 INNOVATION DR
FORT COLLINS, CO 80525
Larimer County (970) 494-4200
AMANDA MURRY M.ED.
Counselor (Addiction (Substance Use Disorder))
4856 INNOVATION DR
FORT COLLINS, CO 80525
Larimer County (970) 494-4200
LIZBETT GARCIA
Counselor (Professional)
4856 INNOVATION DR
FORT COLLINS, CO 80525
Larimer County (970) 494-4200
MORGAN RICE CAT
Counselor (Addiction (Substance Use Disorder))
4856 INNOVATION DR
FORT COLLINS, CO 80525
Larimer County (970) 494-4200
ELISSA STILWELL
Case Manager/Care Coordinator
4856 INNOVATION DR
FORT COLLINS, CO 80525
Larimer County (970) 494-4200
EMILY LAU
Counselor (Professional)
4856 INNOVATION DR
FORT COLLINS, CO 80525
Larimer County (970) 494-4200

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 Kayla Moore's NPI number?

The NPI number for Kayla Moore is 1790568079. It was assigned to this individual provider in the NPPES registry on August 18, 2023.

Where is Kayla Moore located?

Kayla Moore practices at 4856 Innovation Dr, Fort Collins, CO 80525. The listed phone number is (970) 494-4200.

What is Kayla Moore's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Kayla Moore enrolled in Medicare?

Yes. Kayla 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.

When was this NPI record last updated?

The NPPES record for Kayla Moore was last updated on March 10, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.