Individual provider Active NPI

Robin Diane Moeller, LPC

  • Mental Health Counselor
  • New Roads, LA
National Provider Identifier
1417154766
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3201 Issued in LA
Practice address
112 W. Main Street
New Roads, LA 70760
Phone
(225) 618-8888
NPI assigned
Jun 29, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 3201 LA Primary

Addresses

Primary practice location

112 W. Main Street
New Roads, LA 70760

Mailing address

10471 Belleview Dr
New Roads, LA 70760-4116
Phone (225) 618-8888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20240329001504 NE Practitioner - Mental Health Counselor 6406294248 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3201LAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Mental Health Current Accepting new patients
Becker Counseling Services LLC Mental Health CurrentSince Mar 1, 2024 Accepting new patients

Locations

8424 W Center Rd
Ste 214
Omaha, NE 68124
Phone (402) 862-5926

Interoperability endpoints

  • Direct secure messaging: robinmoeller@tdh.allscriptsdirect.net

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, 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": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417154766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10471 BELLEVIEW DR",
            "city": "NEW ROADS",
            "state": "LA",
            "postal_code": "707604116",
            "telephone_number": "225-618-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 W. MAIN STREET",
            "city": "NEW ROADS",
            "state": "LA",
            "postal_code": "70760",
            "telephone_number": "225-618-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOELLER",
        "first_name": "ROBIN",
        "middle_name": "DIANE",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "3201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Roads, LA

Sources for this page

Verify at the official NPI Registry.