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Michal Sierra Moore , LPC

Counselor β€’ Beaverton, OR

Active NPI 1417492851 Individual Practitioner Female Practitioner
Practice location in NPPES

1500 Nw Bethany Blvd Ste 320
Beaverton, OR 970065238

Call 5032335405 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1500 Nw Bethany Blvd Ste 320

Beaverton, OR 970065238

Telephone 5032335405
Organization at the Same NPPES Address or Phone
Western Psychological And Counseling Services Pc Facility NPI 1386187128

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2016

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Michal Moore has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Michal Moore as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Beaverton and Oregon

101 active clinicians are listed under Counselor with a practice address in Beaverton, OR (4,471 in Oregon).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Beaverton

1% of these 101 clinicians have the CMS telehealth indicator.

1% of these 101 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-03-06
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

License # reported to NPPES OR C7904

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Counselor

NUCC Taxonomy Code: 101Y00000X

License # reported to NPPES OR R7792

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Behavior Analyst

NUCC Taxonomy Code: 103K00000X

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oregon Medical Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - MENTAL HEALTH COUNSELOR

Medicare Enrollment ID

I20240423003483

Enrollment State Jurisdiction

OR

PECOS Control ID

2062851009

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Dr. Janet Cline , PhD

Psychologist - Clinical

NPI 1336367218

Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ‘€
Provider Name / Credentials Updated March 06, 2024

Recorded as MICHAL MOORE, LPC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 06, 2024

Counselor (license number reported to NPPES: OR C7904)

πŸ“
Updated Practice Location August 19, 2022

Registered at 1500 NW BETHANY BLVD STE 320, BEAVERTON, OR 970065238 (Tel: 5032335405)

πŸ‘€
Provider Name / Credentials Updated August 19, 2022

Recorded as MICHAL MOORE

βœ…
NPI Profile Active December 20, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) December 20, 2016

Registered at 5415 SE MILWAUKIE AVE, PORTLAND, OR 972024940 (Tel: 5032335405)

πŸ“
Business Mailing Address (Initial Record) December 20, 2016

Registered at 20300 SE MORRISON TER APT F2039, GRESHAM, OR 970302274 (Tel: 6503829218)

πŸ‘€
Provider Name / Credentials (Initial Record) December 20, 2016

Recorded as MICHAL DEDRICK

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 20, 2016

Behavior Analyst

🟒
Initial NPI Registration & Enumeration December 20, 2016

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1417492851
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 20, 2016
Last Update: March 06, 2024
Sole Proprietor: No

Mailing Address

20300 Se Morrison Ter Apt F2039

Gresham, OR 970302274

Phone: 6503829218

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.