Active NPI
Victoria Moreno
- Mental Health Counselor
- Beverly Hills, CA
National Provider Identifier
1356702872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LMFT31990
- Practice address
- 152 S Lasky Dr Ste 202
Beverly Hills, CA 90212-1716 - Phone
- (310) 276-7780
- NPI assigned
- Mar 10, 2016
- 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 | LMFT31990 | CA | Primary |
Addresses
Primary practice location
152 S Lasky Dr Ste 202
Beverly Hills, CA 90212-1716
Mailing address
152 S Lasky Dr Ste 202
Beverly Hills, CA 90212-1716
Phone (310) 276-7780
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 |
|---|---|---|---|
| LMFT31990 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1457568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457568000000",
"number": "1356702872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "152 S LASKY DR STE 202",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902121716",
"telephone_number": "310-276-7780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "152 S LASKY DR STE 202",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902121716",
"telephone_number": "310-276-7780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORENO",
"first_name": "VICTORIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-10",
"last_updated": "2016-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "LMFT31990",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beverly Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.