Active NPI
John Moyanah, LPC
- Professional Counselor
- Frisco, TX
National Provider Identifier
1124624069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 79603
- Practice address
- 3010 Legacy Dr Ste 220
Frisco, TX 75034-7339 - Phone
- (844) 824-8775
- NPI assigned
- Dec 7, 2020
- Last updated
- Oct 22, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 79603 | TX | |
| Professional Counselor | 101YP2500X | 79603 | TX | Primary |
Addresses
Primary practice location
3010 Legacy Dr Ste 220
Frisco, TX 75034-7339
Mailing address
3010 Legacy Dr Ste 220
Frisco, TX 75034-7339
Phone (844) 824-8775
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 79603 | TX | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729555200000",
"number": "1124624069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3010 LEGACY DR STE 220",
"city": "FRISCO",
"state": "TX",
"postal_code": "750347339",
"telephone_number": "844-824-8775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3010 LEGACY DR STE 220",
"city": "FRISCO",
"state": "TX",
"postal_code": "750347339",
"telephone_number": "844-824-8775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOYANAH",
"first_name": "JOHN",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-12-07",
"last_updated": "2024-10-22",
"certification_date": "2024-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "79603",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "79603",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Frisco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.