Diana Moore, MA LMFT LPCC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC 50214 Issued in CA

Practice address

1510 Fashion Island Blvd
Suite 110
San Mateo, CA 94404-1596

Phone

(650) 906-3978

Fax

(650) 570-4283

NPI assigned

Aug 9, 2011

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other names 1

• Diana To Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Previously, effective Aug 16, 2024 through Aug 16, 2026

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1312848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1003195066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 FASHION ISLAND BLVD",
            "address_2": "SUITE 110",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944041596",
            "telephone_number": "650-906-3978",
            "fax_number": "650-570-4283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 FASHION ISLAND BLVD",
            "address_2": "SUITE 110",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944041596",
            "telephone_number": "650-906-3978",
            "fax_number": "650-570-4283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "DIANA",
        "credential": "MA LMFT LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-09",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 50214",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2021012918",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "LPC 85",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANA",
            "last_name": "TO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mitchell Montoya
• Cassie Moody
• Tom D Mooney III, D.C.
• Candy Jo Moore
• David Dwight Moore Jr., D.D.S.
• Richard Jay Moore, M.D.
• Victoria E. Moore, D.D.S.
• Anissa Teresa Moorewilliams, CADC I
• Poornima Moorthy
• Josefina Joan Mora

• Marriage & Family Therapist in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.