Individual provider Active NPI

Laura Elizabeth Moya, LMFT

  • Marriage & Family Therapist
  • Norwich, CT
National Provider Identifier
1336540509
Registry record updated Aug 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1971 Issued in CT
Practice address
18 Oneco St Ste 2
Norwich, CT 06360-3440
Phone
(860) 326-4474
NPI assigned
Sep 8, 2014
Last updated
Aug 27, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 1971 CT Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

18 Oneco St Ste 2
Norwich, CT 06360-3440

Mailing address

22 Lynn Dr
Ledyard, CT 06339-1311
Phone (860) 326-4474

Other practice location 1

331 Main St
Norwich, CT 06360-5836
Phone (860) 889-8346

Other identifiers 1

IdentifierTypeStateIssuer
CBHP010127MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250826001740 CT Practitioner - Marriage and Family Therapist 9739689548 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

22 Lynn Dr
Ledyard, CT 06339-1311

315 Flanders Rd
Suite 201
East Lyme, CT 06333-1711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1971CTMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Moya Family Therapy, LLC Marriage & Family Therapist CurrentSince Jul 2, 2025 Accepting new patients

Locations

315 Flanders Rd
#201
East Lyme, CT 06333
Phone (860) 248-6372

Organizations & group practices 1

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": "1410134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566864000000",
    "number": "1336540509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 LYNN DR",
            "city": "LEDYARD",
            "state": "CT",
            "postal_code": "063391311",
            "telephone_number": "860-326-4474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 ONECO ST STE 2",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063603440",
            "telephone_number": "860-326-4474"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "331 Main St",
            "address_purpose": "LOCATION",
            "city": "Norwich",
            "state": "CT",
            "postal_code": "063605836",
            "country_code": "US",
            "telephone_number": "860-889-8346",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOYA",
        "first_name": "LAURA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-08",
        "last_updated": "2019-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "1971",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CBHP010127",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwich, CT

Sources for this page

Verify at the official NPI Registry.