Individual provider Active NPI

Susan Moore, LMFT, LPCC

  • Marriage & Family Therapist
  • Vacaville, CA
National Provider Identifier
1760183693
Registry record updated Aug 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
156639 Issued in CA
Practice address
401 Boyd St
Vacaville, CA 95688-4521
Phone
(707) 266-6066
Fax
(707) 266-9980
NPI assigned
Mar 16, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 156639 CA Primary
Mental Health Counselor 101YM0800X 23629 CA
Professional Counselor 101YP2500X 23629 CA

Addresses

Primary practice location

401 Boyd St
Vacaville, CA 95688-4521

Mailing address

401 Boyd St
Vacaville, CA 95688-4521
Phone (707) 266-6066

Other practice location 1

1508 F St
Sacramento, CA 95814-1609
Phone (707) 266-6066

Other practice location 2

2137 Misty Oaks Ct
Fairfield, CA 94534-7973
Phone (707) 266-6066

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260325001868 CA Practitioner - Marriage and Family Therapist 2668956897 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2137 Misty Oaks CT
Fairfield, CA 94534-7973

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16548CAMDMental Health Counselor
156639CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Susan Moore Marriage and Family Therapy Inc Marriage & Family Therapist Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1678924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787961600000",
    "number": "1760183693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 BOYD ST",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956884521",
            "telephone_number": "707-266-6066",
            "fax_number": "707-266-9980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 BOYD ST",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956884521",
            "telephone_number": "707-266-6066",
            "fax_number": "707-266-9980"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1508 F St",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958141609",
            "country_code": "US",
            "telephone_number": "707-266-6066",
            "fax_number": "707-266-9980",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2137 Misty Oaks Ct",
            "address_purpose": "LOCATION",
            "city": "Fairfield",
            "state": "CA",
            "postal_code": "945347973",
            "country_code": "US",
            "telephone_number": "707-266-6066",
            "fax_number": "707-266-9980",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "SUSAN",
        "credential": "LMFT, LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-16",
        "last_updated": "2026-08-29",
        "certification_date": "2026-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "156639",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "23629",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "23629",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vacaville, CA

Sources for this page

Verify at the official NPI Registry.