Organization Active NPI

Moonstone Holistic Counseling, PLLC

  • Professional Counselor
  • Richardson, TX
National Provider Identifier
1215551288
Registry record updated Jun 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
MOONSTONE HOLISTIC COUNSELING, PLLC
Practice address
1701 N Collins Blvd Ste 140
Richardson, TX 75080-3554
Phone
(214) 789-9025
NPI assigned
Jun 4, 2020
Last updated
Jun 4, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2020

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

Authorized official

Name
Lea M Roman, MS, LPC, RPTNPI 1679117816
Title
Co-Owner
Phone
(214) 789-9025

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NU Primary

Addresses

Primary practice location

1701 N Collins Blvd Ste 140
Richardson, TX 75080-3554

Mailing address

612 La Salle Dr
Richardson, TX 75081-3510
Phone (214) 789-9025

National Provider Directory

National Provider Directory

Locations

1701 N Collins Blvd
Ste 140
Richardson, TX 75080
Phone (214) 789-9025

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1591228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591228800000",
    "number": "1215551288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 LA SALLE DR",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750813510",
            "telephone_number": "214-789-9025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 N COLLINS BLVD STE 140",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750803554",
            "telephone_number": "214-789-9025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOONSTONE HOLISTIC COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-04",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A",
        "authorized_official_last_name": "ROMAN",
        "authorized_official_first_name": "LEA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "214-789-9025",
        "authorized_official_credential": "MS, LPC, RPT"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2020; 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.