Active NPI
Lisa Maria Moses, LMHC
- Counselor
- Vero Beach, FL
National Provider Identifier
1336738525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- MH9654
- Practice address
- 572 7TH SQ Apt 102
Vero Beach, FL 32962-1877 - Phone
- (772) 766-2129
- NPI assigned
- Jan 13, 2021
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | MH9654 | FL | Primary |
Addresses
Primary practice location
572 7TH SQ Apt 102
Vero Beach, FL 32962-1877
Mailing address
572 7TH SQ Apt 102
Vero Beach, FL 32962-1877
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 |
|---|---|---|---|
| MH9654 | FL | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610496000000",
"number": "1336738525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "572 7TH SQ APT 102",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329621877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "572 7TH SQ APT 102",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329621877",
"telephone_number": "772-766-2129"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSES",
"first_name": "LISA",
"middle_name": "MARIA",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-13",
"last_updated": "2021-01-13",
"certification_date": "2021-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "FL",
"license": "MH9654",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vero Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.