Active NPI
Elexenia Moya
- Mental Health Counselor
- Wellington, FL
National Provider Identifier
1629683396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH21255
- Practice address
- 3415 Oakmont Estates Blvd
Wellington, FL 33414-9357 - Phone
- (561) 791-6284
- NPI assigned
- Sep 10, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH21255 | FL | Primary |
| Marriage & Family Therapist | 106H00000X | IMT2929 | FL |
Addresses
Primary practice location
3415 Oakmont Estates Blvd
Wellington, FL 33414-9357
Mailing address
3415 Oakmont Estates Blvd
Wellington, FL 33414-9357
Phone (718) 666-5875
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 |
|---|---|---|---|
| MH21255 | FL | MD | Mental Health Counselor |
| IMT2929 | FL | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756771200000",
"number": "1629683396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3415 OAKMONT ESTATES BLVD",
"city": "WELLINGTON",
"state": "FL",
"postal_code": "334149357",
"telephone_number": "718-666-5875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3415 OAKMONT ESTATES BLVD",
"city": "WELLINGTON",
"state": "FL",
"postal_code": "334149357",
"telephone_number": "561-791-6284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOYA",
"first_name": "ELEXENIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-09-10",
"last_updated": "2025-09-02",
"certification_date": "2025-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH21255",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "FL",
"license": "IMT2929",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wellington, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.