Active NPI
Shakera G Moyd-Milevor, LPN
- Mental Health Counselor
- Jersey City, NJ
National Provider Identifier
1669123303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 37AC00829900
- Practice address
- 121 Wade St Apt 1F
Jersey City, NJ 07305-2951 - Phone
- (201) 702-7394
- NPI assigned
- Jan 14, 2022
- Last updated
- Nov 7, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 37AC00829900 | NJ | Primary |
Addresses
Primary practice location
121 Wade St Apt 1F
Jersey City, NJ 07305-2951
Mailing address
121 Wade St Apt 1F
Jersey City, NJ 07305-2951
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 |
|---|---|---|---|
| 37AC00829900 | NJ | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730937600000",
"number": "1669123303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 WADE ST APT 1F",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073052951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 WADE ST APT 1F",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073052951",
"telephone_number": "201-702-7394"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOYD-MILEVOR",
"first_name": "SHAKERA",
"middle_name": "G",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-14",
"last_updated": "2024-11-07",
"certification_date": "2024-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NJ",
"license": "37AC00829900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jersey City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.