Cynthia Mary Ellen Moreno, BA

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

136342 Issued in CA

Practice address

1830 S Central St
Visalia, CA 93277-4418

Phone

(559) 730-2969

Fax

(559) 730-2991

NPI assigned

Nov 23, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

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.

• Tulare County Office of Education

  • Local Education Agency (LEA)
  • Visalia, CA
  • NPI 1457612004
  NPD

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

{
    "created_epoch": "1637625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697155200000",
    "number": "1649937764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3614 W COPPOLA AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932775962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 S CENTRAL ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932774418",
            "telephone_number": "559-730-2969",
            "fax_number": "559-730-2991"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "311 N Douty St",
            "address_purpose": "LOCATION",
            "city": "Hanford",
            "state": "CA",
            "postal_code": "932303951",
            "country_code": "US",
            "telephone_number": "559-583-9300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORENO",
        "first_name": "CYNTHIA",
        "middle_name": "MARY ELLEN",
        "credential": "BA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-23",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "12789",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "136342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cmoreno@championsrecovery.org",
            "affiliation": "N",
            "address_1": "311 N Douty St",
            "city": "Hanford",
            "state": "CA",
            "country_code": "US",
            "postal_code": "932303951",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• More About You Physical Therapy and Wellness Corp
• Dason Sandoval Morelos
• Alicia Moreno, FNP
• Angelica Moreno
• Celia Moreno, MS
• Eulalia Moreno, CASE MANAGER
• Magali Moreno
• Oliverio Moreno
• Sean Mikal Moreno
• Virgina Moreno

• Marriage & Family Therapist in Visalia, CA
• Providers in Visalia, 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 Oct 13, 2023; 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.