Active NPI
Cheryl A Moses, LPC
- Mental Health Counselor
- Mansfield, TX
National Provider Identifier
1689901720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 60309
- Practice address
- 1800 E Debbie LN
Mansfield, TX 76063-3336 - Phone
- (817) 723-9309
- NPI assigned
- Nov 11, 2009
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 60309 | TX | |
| Mental Health Counselor | 101YM0800X | 60309 | TX | Primary |
| Professional Counselor | 101YP2500X | 60309 | TX |
Addresses
Primary practice location
1800 E Debbie LN
Mansfield, TX 76063-3336
Mailing address
1308 Westridge Dr
Mansfield, TX 76063-6755
Phone (817) 723-9309
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2188195 | Medicaid | TX |
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 |
|---|---|---|---|
| 60309 | TX | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315353600000",
"number": "1689901720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1308 WESTRIDGE DR",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760636755",
"telephone_number": "817-723-9309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 E DEBBIE LN",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760633336",
"telephone_number": "817-723-9309"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSES",
"first_name": "CHERYL",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-11-11",
"last_updated": "2011-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TX",
"license": "60309",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "60309",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "60309",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2188195",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mansfield, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.