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

Active since August 18, 2023PECOS Enrolled
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: October 25, 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.

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
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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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company, Select Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kayla Ashley Moore Lac 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 Kayla Moore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Summitstone Health Partners
Same address
Mental Health (Including Community Mental Health Center)
4856 INNOVATION DR
Fort Collins, CO 80525
  • Reassigned Medicare billing, Colorado enrollment
  • 183 clinicians in this Medicare group
NPI 1225873136 (970) 494-4200

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.

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 enrollment system.

Which organization bills Medicare for Kayla Moore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kayla Moore reassigns Medicare benefits to Summitstone Health Partners (Fort Collins, CO). 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 Kayla Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kayla Moore accept?

Health plans from Oscar Insurance Company and Select Health list Kayla 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 Kayla Moore was last updated on March 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.