Active NPI
Laura Moreno, LMFT
- Marriage & Family Therapist
- Hayward, CA
National Provider Identifier
1477922854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 112328
- Practice address
- 24301 Southland Dr Ste 300
Hayward, CA 94545-1546 - Phone
- (510) 300-3574
- NPI assigned
- Sep 16, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 82906 | CA | |
| Marriage & Family Therapist | 106H00000X | 112328 | CA | Primary |
Addresses
Primary practice location
24301 Southland Dr Ste 300
Hayward, CA 94545-1546
Mailing address
24301 Southland Dr Ste 300
Hayward, CA 94545-1546
Phone (510) 300-3500
Other practice location 1
22211 Foothill Blvd
Hayward, CA 94541
Phone (510) 471-5907
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
| License | State | Type | Specialty |
|---|---|---|---|
| 82906 | CA | MD | Mental Health Counselor |
| 112328 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553644800000",
"number": "1477922854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24301 SOUTHLAND DR STE 300",
"city": "HAYWARD",
"state": "CA",
"postal_code": "945451546",
"telephone_number": "510-300-3500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24301 SOUTHLAND DR STE 300",
"city": "HAYWARD",
"state": "CA",
"postal_code": "945451546",
"telephone_number": "510-300-3574"
}
],
"practiceLocations": [
{
"address_1": "22211 Foothill Blvd",
"address_purpose": "LOCATION",
"city": "Hayward",
"state": "CA",
"postal_code": "94541",
"country_code": "US",
"telephone_number": "510-471-5907",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MORENO",
"first_name": "LAURA",
"name_prefix": "Miss",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-16",
"last_updated": "2019-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "82906",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "112328",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hayward, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.