Active NPI
Cynthia L. Moua
- Mental Health Counselor
- Marysville, CA
National Provider Identifier
1194075572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- ASW63617
- Practice address
- 103 D St
Marysville, CA 95901-6017 - Phone
- (530) 237-1158
- NPI assigned
- Sep 13, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | ASW63617 | CA | Primary |
Addresses
Primary practice location
103 D St
Marysville, CA 95901-6017
Mailing address
103 D Street
Marysville, CA 95901
Phone (530) 671-3427
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ASW63617 | CA | MD | Mental Health Counselor |
Interoperability endpoints
- cynthia.moua.1@17371.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414627200000",
"number": "1194075572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 D STREET",
"city": "MARYSVILLE",
"state": "CA",
"postal_code": "95901",
"telephone_number": "530-671-3427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 D ST",
"city": "MARYSVILLE",
"state": "CA",
"postal_code": "959016017",
"telephone_number": "530-237-1158"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOUA",
"first_name": "CYNTHIA",
"middle_name": "L.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-09-13",
"last_updated": "2014-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "ASW63617",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marysville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.