Active NPI
Nicolle Laree Moyer
- Mental Health Counselor
- El Monte, CA
National Provider Identifier
1316115090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 63327
- Practice address
- 11057 Basye St
El Monte, CA 91731-1655 - Phone
- (626) 444-0539
- Fax
- (626) 444-7990
- NPI assigned
- Feb 14, 2008
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 63327 | CA | Primary |
Addresses
Primary practice location
11057 Basye St
El Monte, CA 91731-1655
Mailing address
11057 Basye St
El Monte, CA 91731-1655
Phone (626) 444-0539
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63327 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368057600000",
"number": "1316115090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11057 BASYE ST",
"city": "EL MONTE",
"state": "CA",
"postal_code": "917311655",
"telephone_number": "626-444-0539",
"fax_number": "626-444-7990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11057 BASYE ST",
"city": "EL MONTE",
"state": "CA",
"postal_code": "917311655",
"telephone_number": "626-444-0539",
"fax_number": "626-444-7990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOYER",
"first_name": "NICOLLE",
"middle_name": "LAREE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-14",
"last_updated": "2013-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "63327",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Monte, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.