Individual provider Active NPI

May Yia Lee Moua, LPCC, (PRE-LICENSED)

  • Mental Health Counselor
  • Anoka, MN
National Provider Identifier
1073011227
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
241 Van Buren St Ste 4B
Anoka, MN 55303-1784
Phone
(763) 308-5125
NPI assigned
Jan 23, 2018
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X MN Primary

Addresses

Primary practice location

241 Van Buren St Ste 4B
Anoka, MN 55303-1784

Mailing address

10129 Country Club Curv
Woodbury, MN 55129-4212
Phone (651) 303-2397

Other practice location 1

25 W Diamond Lake Rd
Minneapolis, MN 55419-1926
Phone (763) 385-5125

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

NPI Registry JSON

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

{
    "created_epoch": "1516665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1073011227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10129 COUNTRY CLUB CURV",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551294212",
            "telephone_number": "651-303-2397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 VAN BUREN ST STE 4B",
            "city": "ANOKA",
            "state": "MN",
            "postal_code": "553031784",
            "telephone_number": "763-308-5125"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 W Diamond Lake Rd",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554191926",
            "country_code": "US",
            "telephone_number": "763-385-5125",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOUA",
        "first_name": "MAY",
        "middle_name": "YIA LEE",
        "name_prefix": "Mrs.",
        "credential": "LPCC, (PRE-LICENSED)",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-23",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anoka, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.