Individual provider Active NPI

Sylvia Moreno, LPC

  • Professional Counselor
  • San Antonio, TX
National Provider Identifier
1124070057
Registry record updated May 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
15681 Issued in TX
Practice address
10003 NW Military Hwy Ste 2217
San Antonio, TX 78231-1890
Phone
(210) 403-2998
Fax
(210) 402-0418
NPI assigned
May 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 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 15681 TX Primary

Addresses

Primary practice location

10003 NW Military Hwy Ste 2217
San Antonio, TX 78231-1890

Mailing address

10003 NW Military Hwy Ste 2217
San Antonio, TX 78231-1890
Phone (210) 316-4279

Other identifiers 2

IdentifierTypeStateIssuer
096048604MedicaidTX
096048606MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231121000735 TX Practitioner - Mental Health Counselor 1456709088 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15681TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Graciela Moreno, M.D., P.a. PastSince Dec 9, 2019 Accepting new patients

Organizations & group practices 2

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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559088000000",
    "number": "1124070057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10003 NW MILITARY HWY STE 2217",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782311890",
            "telephone_number": "210-316-4279",
            "fax_number": "866-232-0628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10003 NW MILITARY HWY STE 2217",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782311890",
            "telephone_number": "210-403-2998",
            "fax_number": "210-402-0418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORENO",
        "first_name": "SYLVIA",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2019-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "15681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "096048604",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "096048606",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.