Active NPI
Joyce Arline Moreno, LMHC
- Mental Health Counselor
- Tukwila, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH61439573
- Practice address
- 7100 Fort Dent Way Ste 220
Tukwila, WA 98188-8553 - Phone
- (909) 451-1535
- NPI assigned
- Jul 8, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MC61167622 | WA | |
| Mental Health Counselor | 101YM0800X | LH61439573 | WA | Primary |
Addresses
Primary practice location
7100 Fort Dent Way Ste 220
Tukwila, WA 98188-8553
Mailing address
PO Box 28118
Seattle, WA 98118-8118
Phone (909) 451-1535
Other practice location 1
2408 S Judkins St
Seattle, WA 98144-3734
Phone (909) 451-1535
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MC61167622 | WA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mindful Therapy Group PC | Mental Health | Current | Accepting new patients |
Locations
6505 216th St SW
Ste 100
Mountlake Terrace, WA 98043
Phone (425) 678-6463
21907 64th Ave W
Ste 200
Mountlake Terrace, WA 98043
Phone (410) 258-3698
320 NE 97th St
Ste A
Seattle, WA 98115
Phone (206) 323-8113
7100 Fort Dent Way
Ste 220
Tukwila, WA 98188
Phone (206) 708-7274
Organizations & group practices 1
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": "1625702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693267200000",
"number": "1427629617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 28118",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981188118",
"telephone_number": "909-451-1535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7100 FORT DENT WAY STE 220",
"city": "TUKWILA",
"state": "WA",
"postal_code": "981888553",
"telephone_number": "909-451-1535"
}
],
"practiceLocations": [
{
"address_1": "2408 S Judkins St",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981443734",
"country_code": "US",
"telephone_number": "909-451-1535",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MORENO",
"first_name": "JOYCE",
"middle_name": "ARLINE",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-08",
"last_updated": "2023-08-29",
"certification_date": "2023-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "MC61167622",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH61439573",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tukwila, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.