Shae Moreau, LAC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LAC-21693 Issued in AZ

Practice address

1811 S Alma School Rd Ste 250
Mesa, AZ 85210-3042

Phone

(512) 762-6309

NPI assigned

Sep 25, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1695600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1043099633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 E MCKELLIPS RD APT 21A",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852881487",
            "telephone_number": "512-762-6309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 S ALMA SCHOOL RD STE 250",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852103042",
            "telephone_number": "512-762-6309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOREAU",
        "first_name": "SHAE",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-25",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LAC-21693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Moran, CNM
• Nina Luisa Morano, CCC-SLP
• Jaeda Morasch
• Deborah A Mordhorst, PT
• Michael Martin Moreau, CRNA
• Meylin Morejon Navarro
• Juan Pablo Moreno-Ortiz, MD
• Audrey Moreno, FP
• Berner Moreno
• Cynthia M Moreno, MD

• Mental Health Counselor in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Mental Health Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; 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.