Krista Moreno, MA

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

IMT3238 Issued in FL

Practice address

950 Malabar Rd SW # 111469
Palm Bay, FL 32907-6834

Phone

(954) 651-8827

NPI assigned

Jan 3, 2020

Sex

Female

Sole proprietor

Yes

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

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1578009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631491200000",
    "number": "1679112965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 111469",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "32911",
            "telephone_number": "954-651-8827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 MALABAR RD SW # 111469",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329076834",
            "telephone_number": "954-651-8827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORENO",
        "first_name": "KRISTA",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-03",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "IMT3238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Inocencio Montoya, RPH
• Richard A Moore, LMHC
• Evelio Mora
• Megan Lee Morales, HAS
• Bonnie Moravecky
• Ruben Antenor Moreno, MD
• Vanessa Moreno
• Ashley Morgade, MS., CCC-SLP
• Carl Glenmore Morrison Sr., M.D.
• Sena Gladys Mortey, OTR/L

• Marriage & Family Therapist in Palm Bay, FL
• Providers in Palm Bay, FL by specialty
• Marriage & Family Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2021; 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.