Individual provider Active NPI

Nhia Moua, APSW

  • Professional Counselor
  • Appleton, WI
National Provider Identifier
1013563030
Registry record updated Aug 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
129550-121 Issued in WI
Practice address
5601 W Grande Market Dr Ste N
Appleton, WI 54913-8511
Phone
(920) 903-1060
Fax
(920) 903-1164
NPI assigned
Aug 15, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 129550-121 WI Primary

Addresses

Primary practice location

5601 W Grande Market Dr Ste N
Appleton, WI 54913-8511

Mailing address

5601 W Grande Market Dr Ste N
Appleton, WI 54913-8511
Phone (920) 903-1060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
129550-121WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
US 2 Behavioral Health Care Inc Professional PastSince Aug 18, 2019 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": "1565827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565827200000",
    "number": "1013563030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 W GRANDE MARKET DR STE N",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549138511",
            "telephone_number": "920-903-1060",
            "fax_number": "920-903-1164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 W GRANDE MARKET DR STE N",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549138511",
            "telephone_number": "920-903-1060",
            "fax_number": "920-903-1164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUA",
        "first_name": "NHIA",
        "credential": "APSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-15",
        "last_updated": "2019-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "129550-121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Appleton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.