Individual provider Active NPI

Deborah Moszur, RN, LCPC

  • Professional Counselor
  • Naperville, IL
National Provider Identifier
1447514427
Registry record updated Jun 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.000854 Issued in IL
Practice address
951 Elderberry Cir
Unit 103
Naperville, IL 60563-9700
Phone
(630) 369-6724
NPI assigned
Jun 25, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2012

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 180.000854 IL Primary

Addresses

Primary practice location

951 Elderberry Cir
Unit 103
Naperville, IL 60563-9700

Mailing address

951 Elderberry Cir
Unit 103
Naperville, IL 60563-9700
Phone (630) 369-6724

Other identifiers 2

IdentifierTypeStateIssuer
180.000854OtherILLICENSED CLINICAL PROFESSIONAL COUNSELOR
041.204424OtherILREGISTERED PROFESSIONAL NURSE

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
180.000854ILMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1340582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340582400000",
    "number": "1447514427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "951 ELDERBERRY CIR",
            "address_2": "UNIT 103",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605639700",
            "telephone_number": "630-369-6724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 ELDERBERRY CIR",
            "address_2": "UNIT 103",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605639700",
            "telephone_number": "630-369-6724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSZUR",
        "first_name": "DEBORAH",
        "credential": "RN, LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-25",
        "last_updated": "2012-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.000854",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED CLINICAL PROFESSIONAL COUNSELOR",
            "identifier": "180.000854",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED PROFESSIONAL NURSE",
            "identifier": "041.204424",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.