DIANA MOORE MA LMFT LPCC
NPI 1003195066
Marriage & Family Therapist in San Mateo, CA

NPI Status: Active since August 09, 2011

Contact Information

1510 FASHION ISLAND BLVD
SUITE 110
SAN MATEO, CA
ZIP 94404
Phone: (650) 906-3978
Fax: (650) 570-4283

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  • Individual
  • Female
  • Marriage & Family Therapist
  • Opted-Out Medicare

About DIANA MOORE

This page provides the complete NPI Profile along with additional information for Diana Moore, a provider established in San Mateo, California with a medical specialization in Marriage & Family Therapist. The healthcare provider is registered in the NPI registry with number 1003195066 assigned on August 2011. The practitioner's primary taxonomy code is 106H00000X with license number MFC 50214 (CA). The provider is registered as an individual and her NPI record was last updated one year ago.

NPI
1003195066
Provider Name
DIANA MOORE MA LMFT LPCC
Other Name
DIANA TO
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
1510 FASHION ISLAND BLVD SUITE 110 SAN MATEO, CA 94404
Location Phone
(650) 906-3978
Location Fax
(650) 570-4283
Mailing Address
1510 FASHION ISLAND BLVD SUITE 110 SAN MATEO, CA 94404
Mailing Phone
(650) 906-3978
Mailing Fax
(650) 570-4283
Is Sole Proprietor?
Yes
Enumeration Date
08-09-2011
Last Update Date
04-23-2024
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A marriage and family therapist like Diana Moore help patients manage problems with their family and other relationships. Marriage and family therapists encourage clients to discuss their emotions and experiences and, develop strategies and skills to change behavior and cope with difficult situations. Many therapists apply cognitive behavioral therapy to help patients understand harmful thoughts, feelings, and also teach patients how to replace them with positive, life-enhancing ones.

The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Diana Moore opted out of Medicare effective on 08-16-2024 until 08-16-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Marriage & Family Therapist

Taxonomy Code
106H00000X
Type
Behavioral Health & Social Service Providers
License No.
MFC 50214
License State
CA
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101YP2500XBehavioral Health & Social Service Providers

Counselor
Professional

2021012918 (MO)
2101YP2500XBehavioral Health & Social Service Providers

Counselor
Professional

LPC 85 (CA)

Medicare Participation & PECOS Enrollment Status

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Opted-Out of Medicare? Yes

  • Opt-Out Effective Date: 08-16-2024

  • Opt-Out End Date: 08-16-2026

  • Eligible to Order and Refer? No

Reviews for DIANA MOORE MA LMFT LPCC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003195066
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20032910012
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 2 + 9 + 1 + 0 + 0 + 1 + 2 + 24 = 44
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 44 = 66

The NPI number 1003195066 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 14 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1942220447 LIANNE CAROLYN AVILA M.A.
Individual
Marriage & Family Therapist1510 FASHION ISLAND BLVD SUITE 110
SAN MATEO, CA 94404
(650) 892-0357
1568639292DR. JONATHAN HARTLEY ARNOLD PH.D.
Individual
Psychologist (Clinical)1510 FASHION ISLAND BLVD SUITE 110
SAN MATEO, CA 94404
(650) 570-7273
1275700908CHRISTIAN COUNSELING CENTERS, INC.
Organization
Community/Behavioral Health1510 FASHION ISLAND BLVD
SAN MATEO, CA 94404
(650) 570-7273
1104905959 MICHELLE TUNG KWOK M.D.
Individual
Psychiatry & Neurology (Psychiatry)1510 FASHION ISLAND BLVD SUITE 110
SAN MATEO, CA 94404
(408) 421-5826
1154721488DR. MARITE GRANDOVSKIS
Individual
Psychologist (Clinical)1510 FASHION ISLAND BLVD SUITE 110
SAN MATEO, CA 94404
(650) 829-4911
1518369743MARITE GRANDOVSKIS PHD
Organization
Psychologist (Clinical)1510 FASHION ISLAND BLVD SUITE 110
SAN MATEO, CA 94404
(650) 829-4911
1033512769 STEVEN KINSTLER MFTI
Individual
Marriage & Family Therapist1510 FASHION ISLAND BLVD SUITE 110
SAN MATEO, CA 94404
(650) 570-7273
1679597843MR. STEVEN BRADFORD BARNEY LMFT
Individual
Marriage & Family Therapist1510 FASHION ISLAND BLVD SUITE 110
SAN MATEO, CA 94404
(650) 477-3912
1013379205 LUKE WILKERSON M.S.M.F.T.
Individual
Marriage & Family Therapist1510 FASHION ISLAND BLVD SUITE 110
SAN MATEO, CA 94404
(619) 365-9956
1649632837 SARAH PROEMSEY M.S.
Individual
Counselor (Mental Health)1510 FASHION ISLAND BLVD SUITE 110
SAN MATEO, CA 94404
(650) 570-7273
1033571237 ALEXANDRA HELENIUS
Individual
Marriage & Family Therapist1510 FASHION ISLAND BLVD SUITE 110
SAN MATEO, CA 94404
(805) 509-4437
1639611379 LINDA ROSE
Individual
Counselor (Mental Health)1510 FASHION ISLAND BLVD
SAN MATEO, CA 94404
(650) 570-7273
1699109322MRS. CANDICE THOMPSON MMFT, LMFT
Individual
Marriage & Family Therapist1510 FASHION ISLAND BLVD STE. 110
SAN MATEO, CA 94404
(650) 264-9763
1073531414MRS. SUZANNE MARIE HUGHES MFT
Individual
Marriage & Family Therapist1510 FASHION ISLAND BLVD SUITE 110
SAN MATEO, CA 94404
(415) 860-1475

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003195066, enumerated in the NPI registry as an "individual" on August 09, 2011

The provider is located at 1510 Fashion Island Blvd Suite 110 San Mateo, Ca 94404 and the phone number is (650) 906-3978

The provider's speciality is Marriage & Family Therapist with taxonomy code 106H00000X

No, the provider signed an affidavit on August 16, 2024 to opt-out of the Medicare program. The provider is excluded from the Medicare program until August 16, 2026.

This NPI record was last updated on August 09, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.