Individual provider Active NPI

Karla T. Moreno, M. ED, LPC

  • Mental Health Counselor
  • Eagle Pass, TX
National Provider Identifier
1114150711
Registry record updated Aug 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
11341133 Issued in TX
Practice address
2944 Superior Dr
Eagle Pass, TX 78852-5703
Phone
(830) 758-7037
Fax
(830) 757-1278
NPI assigned
Aug 29, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 11341133 TX Primary

Addresses

Primary practice location

2944 Superior Dr
Eagle Pass, TX 78852-5703

Mailing address

2944 Superior Dr
Eagle Pass, TX 78852-5703
Phone (830) 758-7037

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
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
11341133TXMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1251504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251504000000",
    "number": "1114150711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2944 SUPERIOR DR",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "788525703",
            "telephone_number": "830-758-7037",
            "fax_number": "830-757-1278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2944 SUPERIOR DR",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "788525703",
            "telephone_number": "830-758-7037",
            "fax_number": "830-757-1278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORENO",
        "first_name": "KARLA",
        "middle_name": "T.",
        "credential": "M. ED, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-29",
        "last_updated": "2009-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "11341133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle Pass, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2009; 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.