Individual provider Active NPI

Blanca Leticia Gadney-Moss, MA LPC LMFT NCC

  • Counselor
  • El Paso, TX
National Provider Identifier
1558452128
Registry record updated Aug 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
10776 Issued in TX
Practice address
1418 Montana Ave
El Paso, TX 79902-5618
Phone
(915) 351-8030
Fax
(915) 566-1811
NPI assigned
Sep 27, 2006
Last updated
Aug 4, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 10776 TX Primary
Marriage & Family Therapist 106H00000X 2214 TX

Addresses

Primary practice location

1418 Montana Ave
El Paso, TX 79902-5618

Mailing address

1418 Montana Ave
El Paso, TX 79902-5618
Phone (915) 351-8030

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
Master of Arts

State licenses

LicenseStateTypeSpecialty
10776TXMDCounselor
2214TXMDFoot Surgery Podiatrist

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312416000000",
    "number": "1558452128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1418 MONTANA AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799025618",
            "telephone_number": "915-351-8030",
            "fax_number": "915-566-1811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1418 MONTANA AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799025618",
            "telephone_number": "915-351-8030",
            "fax_number": "915-566-1811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GADNEY-MOSS",
        "first_name": "BLANCA",
        "middle_name": "LETICIA",
        "name_prefix": "Ms.",
        "credential": "MA LPC LMFT NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2011-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "10776",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "2214",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2011; 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.