Active NPI
Moriah Lett
- Professional Counselor
- Glen Allen, VA
National Provider Identifier
1215636600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701012242
- Practice address
- 4870 Sadler Rd Ste 300
Glen Allen, VA 23060-6294 - Phone
- (800) 804-5302
- NPI assigned
- Feb 24, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701012242 | VA | Primary |
Addresses
Primary practice location
4870 Sadler Rd Ste 300
Glen Allen, VA 23060-6294
Mailing address
4870 Sadler Rd Ste 300
Glen Allen, VA 23060-6294
Phone (800) 804-5302
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250306000637 | VA | Practitioner - Mental Health Counselor | 4789105743 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0701012242 | VA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holistic Humans LLC | Professional | Current | Accepting new patients |
| Hiaah PC | Professional | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677196800000",
"number": "1215636600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4870 SADLER RD STE 300",
"city": "GLEN ALLEN",
"state": "VA",
"postal_code": "230606294",
"telephone_number": "800-804-5302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4870 SADLER RD STE 300",
"city": "GLEN ALLEN",
"state": "VA",
"postal_code": "230606294",
"telephone_number": "800-804-5302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LETT",
"first_name": "MORIAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-24",
"last_updated": "2023-02-24",
"certification_date": "2023-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701012242",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glen Allen, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; 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.