Individual provider Active NPI

Valerie J Moczygemba, LPC

  • Professional Counselor
  • San Antonio, TX
National Provider Identifier
1356962229
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
77487 Issued in TX
Practice address
4402 Vance Jackson Rd Ste 214
San Antonio, TX 78230-5334
Phone
(210) 293-0883
Fax
(210) 352-9210
NPI assigned
May 2, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH28501 FL
Professional Counselor 101YP2500X 77487 TX Primary

Addresses

Primary practice location

4402 Vance Jackson Rd Ste 214
San Antonio, TX 78230-5334

Mailing address

4402 Vance Jackson Rd Ste 214
San Antonio, TX 78230-5334
Phone (210) 293-0883

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20240613001639 TX Practitioner - Mental Health Counselor 6305389792 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

11230 W Ave
Suite 1105
San Antonio, TX 78213-1359
Phone (210) 293-0883

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grace Salinas-Garcia, M.D., P.a. CurrentSince Jan 10, 2021 Accepting new patients
Alamo Wellness Group, LLC Professional CurrentSince Jun 7, 2024 Accepting new patients
Amphyst Behavioral Health, PLLC CurrentSince Sep 3, 2025 Accepting new patients

Locations

11230 West Ave
Ste 1105
San Antonio, TX 78213
Phone (210) 293-0883

9518 Tioga Dr
San Antonio, TX 78230
Phone (210) 495-4888

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1588377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788480000000",
    "number": "1356962229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4402 VANCE JACKSON RD STE 214",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782305334",
            "telephone_number": "210-293-0883",
            "fax_number": "210-352-9210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4402 VANCE JACKSON RD STE 214",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782305334",
            "telephone_number": "210-293-0883",
            "fax_number": "210-352-9210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOCZYGEMBA",
        "first_name": "VALERIE",
        "middle_name": "J",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-02",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH28501",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "77487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.