Individual provider Active NPI

Richard Moro

  • Psychiatric/Mental Health Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1710669890
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1119542 Issued in TX
Practice address
5282 Medical Dr Ste 605
San Antonio, TX 78229-6114
Phone
(210) 447-7373
NPI assigned
Aug 7, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 1119542 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1119542 TX Primary

Addresses

Primary practice location

5282 Medical Dr Ste 605
San Antonio, TX 78229-6114

Mailing address

140 Cloverleaf Dr
Schertz, TX 78154-2442
Phone (713) 410-8595

Other practice location 1

140 Cloverleaf Dr
Schertz, TX 78154-2442
Phone (713) 410-8595

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231211000440 TX Practitioner - Nurse Practitioner 7911356464 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Zeitgeist Expressions IncGroup PAC ID 1355578493, 4 clinicians

Practice addresses (Care Compare)

5282 Medical Dr
Suite 605
San Antonio, TX 78229-6114
Phone (210) 447-7373

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lstar Psychiatric Clinic LLC Psychiatric/Mental Health CurrentSince Jan 19, 2025 Accepting new patients
Zeitgeist Expressions Inc Mental Health CurrentSince Jan 1, 2024 Accepting new patients

Locations

5282 Medical Dr
Ste 605
San Antonio, TX 78229
Phone (210) 271-3630

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": "1691366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1710669890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 CLOVERLEAF DR",
            "city": "SCHERTZ",
            "state": "TX",
            "postal_code": "781542442",
            "telephone_number": "713-410-8595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5282 MEDICAL DR STE 605",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782296114",
            "telephone_number": "210-447-7373"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "140 Cloverleaf Dr",
            "address_purpose": "LOCATION",
            "city": "Schertz",
            "state": "TX",
            "postal_code": "781542442",
            "country_code": "US",
            "telephone_number": "713-410-8595",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORO",
        "first_name": "RICHARD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-07",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "1119542",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1119542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.