Individual provider Active NPI

Dakota Moser, MA, LMFTA

  • Marriage & Family Therapist
  • Charlotte, NC
National Provider Identifier
1164304846
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
20753A Issued in NU
Practice address
1300 Baxter St Ste 420-421
Charlotte, NC 28204-3053
Phone
(704) 995-0342
Fax
(704) 943-0707
NPI assigned
Jul 23, 2025
Last updated
Jul 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 20753A NU Primary

Addresses

Primary practice location

1300 Baxter St Ste 420-421
Charlotte, NC 28204-3053

Mailing address

7745 Ballantyne Commons Pkwy Ste 102
Charlotte, NC 28277-5056
Phone (704) 995-0342

Other practice location 1

7745 Ballantyne Commons Pkwy Ste 102
Charlotte, NC 28277-5056
Phone (704) 995-0342

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20260430000385 NC Practitioner - Marriage and Family Therapist 2365919016 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7745 Ballantyne Commons Pkwy
Suite 102
Charlotte, NC 28277-2490

7745 Ballantyne Commons Pkwy
Suite 102
Charlotte, NC 28277-5056

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Achieve Balance, PLLC Marriage & Family Therapist CurrentSince Feb 16, 2026 Accepting new patients

Locations

1300 Baxter St
Ste 420421
Charlotte, NC 28204
Phone (704) 313-8724

7745 Ballantyne Commons Pkwy
Ste 102
Charlotte, NC 28277
Phone (704) 626-6550

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1753228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1164304846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7745 BALLANTYNE COMMONS PKWY STE 102",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282775056",
            "telephone_number": "704-995-0342",
            "fax_number": "704-943-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 BAXTER ST STE 420-421",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282043053",
            "telephone_number": "704-995-0342",
            "fax_number": "704-943-0707"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7745 Ballantyne Commons Pkwy Ste 102",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282775056",
            "country_code": "US",
            "telephone_number": "704-995-0342",
            "fax_number": "704-943-0707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOSER",
        "first_name": "DAKOTA",
        "credential": "MA, LMFTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-23",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": "20753A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.