Ezekiel Moreno

Primary specialty

CounselorTaxonomy code 101Y00000X

License

6401018236 Issued in MI

Practice address

1412 Bentwood Dr
Lansing, MI 48917-2035

Phone

(517) 272-1478

NPI assigned

Apr 6, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• GPS Guide to Personal Solutions

  • Community/Behavioral Health Agency
  • Lansing, MI
  • NPI 1114367380
  NPD (past)

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

{
    "created_epoch": "1586131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590019200000",
    "number": "1215566757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1412 BENTWOOD DR",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489172035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1412 BENTWOOD DR",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489172035",
            "telephone_number": "517-272-1478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORENO",
        "first_name": "EZEKIEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-06",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "MI",
            "license": "SC0000000913456",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401018236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Lansing",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1412 Bentwood Dr",
            "city": "Lansing",
            "state": "MI",
            "country_code": "US",
            "postal_code": "489172035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Margaret A Morath, D.O.
• Dagmar Moravec, RSW
• Isabelle Rae Morden, LLMSW
• Craig Douglas Morea, C.O.T.A.
• Elizabeth Moreno, FNP-C
• Mary Moretto, RN
• Morgan Transportation Assistance, LLC
• Alexandra Morgan, MA, LLPC
• Amanda Morgan
• Cassidy Morgan

• Counselor in Lansing, MI
• Providers in Lansing, MI by specialty
• Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.