Rafael Segundo Moreira, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

000289-1 Issued in NY

Practice address

7410 35TH Ave
Suite 107
Jackson Heights, NY 11372-8197

Phone

(718) 672-1538

NPI assigned

Jun 18, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• PD Mental Health Counseling of Queens County PLLC

  • Mental Health Counselor
  • Jackson Heights, NY
  • NPI 1548810088
  Medicare reassignment NPD

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

{
    "created_epoch": "1213747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254441600000",
    "number": "1538320981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7801 30TH AVE APT 321",
            "city": "EAST ELMHURST",
            "state": "NY",
            "postal_code": "113701552",
            "telephone_number": "718-205-1047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7410 35TH AVE",
            "address_2": "SUITE 107",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113728197",
            "telephone_number": "718-672-1538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOREIRA",
        "first_name": "RAFAEL",
        "middle_name": "SEGUNDO",
        "name_prefix": "Mr.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-18",
        "last_updated": "2009-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "000289-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Minerva Maria Moran
• Rosalind Kathryn Moran
• Christine Mordente, M.ED.
• Elina Morduhayev
• Edwin Henry Moreano, M.D.
• Maria Victoria Moreno Cuttle, MD
• Katherine Moreno, LMHC
• Maria Moreno, OPTICIAN
• Manuel Orlando Mosquera, M.D.
• Tamara Moszczynska

• Mental Health Counselor in Jackson Heights, NY
• Providers in Jackson Heights, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2009; 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.

Verify at the official NPI Registry.