Individual provider Active NPI

Nancy Xenia Moser, LPC

  • Professional Counselor
  • Roswell, GA
National Provider Identifier
1609021427
Registry record updated Nov 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC004559 Issued in GA
Practice address
490 Sun Valley Dr
Suite 205
Roswell, GA 30076-5615
Phone
(770) 653-5705
Fax
(770) 642-4239
NPI assigned
Nov 20, 2008
Last updated
Nov 20, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2008

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 LPC004559 GA Primary

Addresses

Primary practice location

490 Sun Valley Dr
Suite 205
Roswell, GA 30076-5615

Mailing address

490 Sun Valley Dr
Suite 205
Roswell, GA 30076-5615
Phone (770) 653-5705

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
LPC004559GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lifescapes Counseling Services LLC Professional Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1227139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227139200000",
    "number": "1609021427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 SUN VALLEY DR",
            "address_2": "SUITE 205",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300765615",
            "telephone_number": "770-653-5705",
            "fax_number": "770-642-4239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 SUN VALLEY DR",
            "address_2": "SUITE 205",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300765615",
            "telephone_number": "770-653-5705",
            "fax_number": "770-642-4239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSER",
        "first_name": "NANCY",
        "middle_name": "XENIA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-20",
        "last_updated": "2008-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC004559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2008; 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.