Active NPI
Stephanie Moreno, M.S., LPC, CRC, CBIS
- Counselor
- McKinney, TX
National Provider Identifier
1013380849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 66524
- Practice address
- 4601 Medical Center Dr
Ste F
McKinney, TX 75069 - Phone
- (469) 616-4626
- NPI assigned
- Nov 2, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 66524 | TX | Primary |
Addresses
Primary practice location
4601 Medical Center Dr
Ste F
McKinney, TX 75069
Mailing address
4601 Medical Center Dr
Ste F
McKinney, TX 75069
Phone (469) 616-4626
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 9, 2024 through Oct 9, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 66524 | TX | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stephanie Moreno, LPC LLC | Past | 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.
-
- Community/Behavioral Health Agency
- Plano, TX
- NPI 1720462609
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620777600000",
"number": "1013380849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4601 MEDICAL CENTER DR",
"address_2": "STE F",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "75069",
"telephone_number": "469-616-4626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4601 MEDICAL CENTER DR",
"address_2": "STE F",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "75069",
"telephone_number": "469-616-4626"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORENO",
"first_name": "STEPHANIE",
"name_prefix": "Mrs.",
"credential": "M.S., LPC, CRC, CBIS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-02",
"last_updated": "2021-05-12",
"certification_date": "2021-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TX",
"license": "66524",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in McKinney, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; 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.