Organization Active NPI

Christa Moody LMHC

  • Mental Health Counselor
  • Pensacola, FL
National Provider Identifier
1235542515
Registry record updated Jun 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH9882 Issued in FL
Legal business name
CHRISTA MOODY LMHC
Practice address
1010 N 12TH Ave
Room 302
Pensacola, FL 32501-3370
Phone
(850) 261-1345
NPI assigned
Jun 4, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2014

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

Authorized official

Name
Christa Moody, LMHCNPI 1144554379
Title
Owner
Phone
(850) 261-1345

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X MH9882 FL Primary

Addresses

Primary practice location

1010 N 12TH Ave
Room 302
Pensacola, FL 32501-3370

Mailing address

1010 N 12TH Ave
Room 302
Pensacola, FL 32501-3370
Phone (850) 261-1345

National Provider Directory

National Provider Directory

Locations

1010 N 12th Ave
Ste 302
Pensacola, FL 32501
Phone (850) 261-1345

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1401840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401840000000",
    "number": "1235542515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 N 12TH AVE",
            "address_2": "ROOM 302",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325013370",
            "telephone_number": "850-261-1345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 N 12TH AVE",
            "address_2": "ROOM 302",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325013370",
            "telephone_number": "850-261-1345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTA MOODY LMHC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-04",
        "last_updated": "2014-06-04",
        "status": "A",
        "authorized_official_last_name": "MOODY",
        "authorized_official_first_name": "CHRISTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-261-1345",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH9882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

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

Verify at the official NPI Registry.