NPIMap

Individual provider Active NPI

Dianne Moulder, M.ED., P.C.

  • Counselor
  • North Canton, OH
National Provider Identifier
1275790586
Registry record updated May 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
C5156 Issued in OH
Practice address
1303 W Maple St
Ste. 103
North Canton, OH 44720-2858
Phone
(330) 966-8677
Fax
(330) 966-6511
NPI assigned
May 22, 2008
Last updated
May 22, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X C5156 OH Primary

Addresses

Primary practice location

1303 W Maple St
Ste. 103
North Canton, OH 44720-2858

Mailing address

1303 W Maple St
Ste. 103
North Canton, OH 44720-2858
Phone (330) 966-8677

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
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
C5156OHMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
NE Family Care Counseling Center Past Accepting new patients
N E Family Care Center 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211414400000",
    "number": "1275790586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 W MAPLE ST",
            "address_2": "STE. 103",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447202858",
            "telephone_number": "330-966-8677",
            "fax_number": "330-966-6511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 W MAPLE ST",
            "address_2": "STE. 103",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447202858",
            "telephone_number": "330-966-8677",
            "fax_number": "330-966-6511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOULDER",
        "first_name": "DIANNE",
        "name_prefix": "Mrs.",
        "credential": "M.ED., P.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-22",
        "last_updated": "2008-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "C5156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; 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.