Individual provider Active NPI

Rochelle C. Moss, PH.D., LPC-S

  • Professional Counselor
  • Allen, TX
National Provider Identifier
1760600175
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
19197 Issued in TX
Practice address
1506 N Greenville Ave
Suite 250
Allen, TX 75002-8622
Phone
(214) 385-3314
NPI assigned
Apr 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 19197 TX Primary
Professional Counselor 101YP2500X P0205021 AR

Addresses

Primary practice location

1506 N Greenville Ave
Suite 250
Allen, TX 75002-8622

Mailing address

3191 Medical Center Dr
#44204
McKinney, TX 75069-1658
Phone (214) 385-3314

Other identifiers 1

IdentifierTypeStateIssuer
7014LCOtherTXBCBSTX PROVIDER NUMBER

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
P0205021ARMDProfessional Counselor
19197TXMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760600175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3191 MEDICAL CENTER DR",
            "address_2": "#44204",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750691658",
            "telephone_number": "214-385-3314",
            "fax_number": "903-886-5780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1506 N GREENVILLE AVE",
            "address_2": "SUITE 250",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750028622",
            "telephone_number": "214-385-3314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSS",
        "first_name": "ROCHELLE",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "PH.D., LPC-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "19197",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P0205021",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX  PROVIDER NUMBER",
            "identifier": "7014LC",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.