Individual provider Active NPI

Stephen Moser, LMHC

  • Mental Health Counselor
  • Taos, NM
National Provider Identifier
1790930246
Registry record updated Oct 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0118211 Issued in NM
Practice address
1337 Gusdorf Road,
Suite M
Taos, NM 87571-7200
Phone
(575) 758-4297
Fax
(575) 751-7237
NPI assigned
Nov 25, 2008
Last updated
Oct 7, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0118211 NM Primary

Addresses

Primary practice location

1337 Gusdorf Road,
Suite M
Taos, NM 87571-7200

Mailing address

1337 Gusdorf Road,
Suite M PO Box 2238
Taos, NM 87571-7200
Phone (575) 758-4297

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241213001916 NM Practitioner - Mental Health Counselor 5092241067 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nonviolence Works IncGroup PAC ID 4587840806, 13 clinicians

Practice addresses (Care Compare)

105 Bertha Rd
Suite B
Taos, NM 87571-7148
Phone (575) 770-8136

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0118211NMMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Nonviolence Works, Inc. CurrentSince Sep 14, 2024 Accepting new patients

Locations

105 Bertha Rd
Ste B
Taos, NM 87571
Phone (575) 758-4297

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1227571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286409600000",
    "number": "1790930246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1337 GUSDORF ROAD,",
            "address_2": "SUITE M PO BOX 2238",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875717200",
            "telephone_number": "575-758-4297",
            "fax_number": "575-751-7237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1337 GUSDORF ROAD,",
            "address_2": "SUITE M",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875717200",
            "telephone_number": "575-758-4297",
            "fax_number": "575-751-7237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSER",
        "first_name": "STEPHEN",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-25",
        "last_updated": "2010-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "0118211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taos, NM

Sources for this page

Verify at the official NPI Registry.