Individual provider Active NPI

Stephanie Moir, LMHC

  • Mental Health Counselor
  • Tampa, FL
National Provider Identifier
1639430507
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH12679 Issued in FL
Practice address
3312 W Kennedy Blvd
Tampa, FL 33609-2904
Phone
(813) 321-8280
NPI assigned
Jun 6, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH12679 FL Primary

Addresses

Primary practice location

3312 W Kennedy Blvd
Tampa, FL 33609-2904

Mailing address

3312 W Kennedy Blvd
Tampa, FL 33609-2904
Phone (813) 321-8280

Other practice location 1

730 S Sterling Ave Ste 301
Tampa, FL 33609-4524
Phone (720) 305-6583

Other practice location 2

5322 Primrose Lake Cir Ste H
Tampa, FL 33647-3659
Phone (720) 305-6583

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20250818004119 FL Practitioner - Mental Health Counselor 9739688565 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
University of South Florida College of Medicine, 2012
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1854 Logan St
Longmont, CO 80501-1852

6301 S Macdill Ave
Tampa, FL 33611-5019

8008 E Arapahoe CT
Suite 100
Centennial, CO 80112-6839

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH12679FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mind Gym Neurofeedback, LLC Mental Health CurrentSince Aug 1, 2025 Accepting new patients
Mind Gym Neurofeedback, LLC Mental Health CurrentSince Aug 1, 2025 Accepting new patients

Locations

8008 E Arapahoe Ct
Ste 100
Centennial, CO 80112
Phone (720) 290-0154

5322 Primrose Lake Cir
Ste H
Tampa, FL 33647
Phone (720) 233-2299

730 S Sterling Ave
Ste 301
Tampa, FL 33609
Phone (720) 305-6583

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1338940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1639430507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3312 W KENNEDY BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336092904",
            "telephone_number": "813-321-8280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3312 W KENNEDY BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336092904",
            "telephone_number": "813-321-8280"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "730 S Sterling Ave Ste 301",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336094524",
            "country_code": "US",
            "telephone_number": "720-305-6583",
            "fax_number": "720-222-5533",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5322 Primrose Lake Cir Ste H",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336473659",
            "country_code": "US",
            "telephone_number": "720-305-6583",
            "fax_number": "720-222-5533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOIR",
        "first_name": "STEPHANIE",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-06",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH12679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.