Individual provider Active NPI

Eleanor Baars Moser, LPC

  • Professional Counselor
  • Irving, TX
National Provider Identifier
1366110835
Registry record updated Aug 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
76401 Issued in TX
Practice address
4425 W Airport Fwy Ste 244
Irving, TX 75062-5958
Phone
(214) 213-1053
NPI assigned
Aug 31, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 76401 TX Primary

Addresses

Primary practice location

4425 W Airport Fwy Ste 244
Irving, TX 75062-5958

Mailing address

4425 W Airport Fwy Ste 244
Irving, TX 75062-5958
Phone (214) 213-1053

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 22, 2024 through Feb 22, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
76401TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
In His Image Counseling Center, PLLC Professional PastSince Sep 5, 2021 Accepting new patients
Carol Lieser Pmhnp PLLC PastSince Sep 5, 2021 Accepting new patients

Organizations & group practices 2

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": "1630368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630368000000",
    "number": "1366110835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4425 W AIRPORT FWY STE 244",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750625958",
            "telephone_number": "214-213-1053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 W AIRPORT FWY STE 244",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750625958",
            "telephone_number": "214-213-1053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSER",
        "first_name": "ELEANOR",
        "middle_name": "BAARS",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-31",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "76401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.