Organization Active NPI

Moda Counseling, PLLC

  • Clinical Social Worker
  • Irving, TX
National Provider Identifier
1790397966
Registry record updated Apr 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MODA COUNSELING, PLLC
Practice address
511 E John Carpenter Fwy Ste 500
Irving, TX 75062-8138
Phone
(972) 719-2501
NPI assigned
Aug 19, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2024

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

Authorized official

Name
Stephanie Modarelli, LCSW, LCDC
Title
Owner
Phone
(972) 719-2501

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

511 E John Carpenter Fwy Ste 500
Irving, TX 75062-8138

Mailing address

511 E John Carpenter Fwy Ste 500
Irving, TX 75062-8138
Phone (972) 719-2501

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1597795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713225600000",
    "number": "1790397966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 E JOHN CARPENTER FWY STE 500",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750628138",
            "telephone_number": "972-719-2501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 E JOHN CARPENTER FWY STE 500",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750628138",
            "telephone_number": "972-719-2501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODA COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-19",
        "last_updated": "2024-04-16",
        "certification_date": "2022-07-12",
        "status": "A",
        "authorized_official_last_name": "MODARELLI",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-719-2501",
        "authorized_official_credential": "LCSW, LCDC"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.

Verify at the official NPI Registry.