Individual provider Active NPI

Melissa Moyen, BASW, MSW, LICENSED

  • School Counselor
  • Cleveland, TN
National Provider Identifier
1467996819
Registry record updated Dec 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
School CounselorTaxonomy code 101YS0200X
License
000640174 Issued in TN
Practice address
1340 Brown Ave NW
Cleveland, TN 37311-1868
Phone
(423) 473-9542
NPI assigned
Dec 5, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Counselor 101YS0200X 000640174 TN Primary

Addresses

Primary practice location

1340 Brown Ave NW
Cleveland, TN 37311-1868

Mailing address

1340 Brown Ave NW
Cleveland, TN 37311-1868
Phone (423) 473-9542

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

State licenses

LicenseStateTypeSpecialty
000640174TNMDSchool Counselor

NPI Registry JSON

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

{
    "created_epoch": "1480896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480896000000",
    "number": "1467996819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 BROWN AVE NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373111868",
            "telephone_number": "423-473-9542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 BROWN AVE NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373111868",
            "telephone_number": "423-473-9542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOYEN",
        "first_name": "MELISSA",
        "credential": "BASW, MSW, LICENSED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-05",
        "last_updated": "2016-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "TN",
            "license": "000640174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2016; 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.