John Paul Moreno, PC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH19850 Issued in FL

Practice address

6111 Gazebo Park PL N
Jacksonville, FL 32257-1302

Phone

(386) 385-4650

NPI assigned

Jun 18, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1339977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1073876983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6111 GAZEBO PARK PL N",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322571302",
            "telephone_number": "386-385-4650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6111 GAZEBO PARK PL N",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322571302",
            "telephone_number": "386-385-4650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORENO",
        "first_name": "JOHN",
        "middle_name": "PAUL",
        "credential": "PC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-18",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "C.0005552",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH19850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alvaro Moreno-Aspitia, M.D.
• Andrea Moreno-Lackman, ARNP
• Anita Moreno, LISW
• Fernando Moreno Jr., MD
• Jessica Christine Moreno, LMHC
• Mary Ellen Moreno, BA
• Raul J Moreno, MD
• Tomas Alejandro Moreno, MD
• Yessenia Franco Moreno, LCSW
• Jessica Natalie Morenus, APRN

• Mental Health Counselor in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; 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.