Active NPI
Shelley Moeller
- Marriage & Family Therapist
- Round Rock, TX
National Provider Identifier
1316370679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 203328
- Practice address
- 425 University Blvd
Round Rock, TX 78665 - Phone
- (512) 509-0200
- Fax
- (512) 509-0285
- NPI assigned
- Aug 9, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 203328 | TX | Primary |
Addresses
Primary practice location
425 University Blvd
Round Rock, TX 78665
Mailing address
PO Box 844658
Dallas, TX 75284-4658
Phone (800) 994-0371
Other practice location 1
90 Great Oaks Blvd
Suite 108
San Jose, CA 95119-1314
Phone (408) 281-0708 ext. 128
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 |
|---|---|---|---|
| 203328 | TX | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549497600000",
"number": "1316370679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 844658",
"city": "DALLAS",
"state": "TX",
"postal_code": "752844658",
"telephone_number": "800-994-0371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 UNIVERSITY BLVD",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "78665",
"telephone_number": "512-509-0200",
"fax_number": "512-509-0285"
}
],
"practiceLocations": [
{
"address_1": "90 Great Oaks Blvd",
"address_2": "Suite 108",
"address_purpose": "LOCATION",
"city": "San Jose",
"state": "CA",
"postal_code": "951191314",
"country_code": "US",
"telephone_number": "408-281-0708 x128",
"fax_number": "408-281-2658",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOELLER",
"first_name": "SHELLEY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-09",
"last_updated": "2019-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TX",
"license": "203328",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Round Rock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.