Joe Moreno, AMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

128041 Issued in CA

Practice address

4325 W Sunset Blvd
Los Angeles, CA 90029-2174

Phone

(310) 346-1019

NPI assigned

Mar 25, 2022

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Abby Withee, Marriage and Family Therapist, Inc.

  • Marriage & Family Therapist
  • Redondo Beach, CA
  • NPI 1306508478
  NPD

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

{
    "created_epoch": "1648166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655856000000",
    "number": "1629728340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1645 W 70TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900471931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4325 W SUNSET BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900292174",
            "telephone_number": "310-346-1019"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1848 S Elena Ave Ste 105",
            "address_purpose": "LOCATION",
            "city": "Redondo Beach",
            "state": "CA",
            "postal_code": "902775710",
            "country_code": "US",
            "telephone_number": "310-243-6580",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORENO",
        "first_name": "JOE",
        "name_prefix": "Mr.",
        "credential": "AMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-25",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "128041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heidi Lourdez Moreno
• Irving Fitzgerald Moreno
• Jackeline Lili Moreno
• Jeff Moreno
• Jocabel Moreno
• Kareli Moreno
• Karla Moreno
• Kathleen Ann Moreno, M.D.
• Lizeth Moreno, DSW
• Luisa Fernanda Moreno

• Marriage & Family Therapist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2022; 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.