Individual provider Active NPI

Julie Eckert Moyers, LPC., RPT, NCC

  • Professional Counselor
  • Fort Worth, TX
National Provider Identifier
1801082227
Registry record updated May 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
20267 Issued in TX
Practice address
1706 Enderly PL
Fort Worth, TX 76104-4122
Phone
(817) 845-5422
Fax
(817) 231-0219
NPI assigned
Sep 19, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2009

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 20267 TX
Professional Counselor 101YP2500X 20267 TX Primary

Addresses

Primary practice location

1706 Enderly PL
Fort Worth, TX 76104-4122

Mailing address

4344 Westdale Dr
Fort Worth, TX 76109-4930
Phone (817) 845-5422

Other identifiers 1

IdentifierTypeStateIssuer
1811986MedicaidTX

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

LicenseStateTypeSpecialty
20267TXMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243382400000",
    "number": "1801082227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4344 WESTDALE DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761094930",
            "telephone_number": "817-845-5422",
            "fax_number": "817-231-0219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 ENDERLY PL",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044122",
            "telephone_number": "817-845-5422",
            "fax_number": "817-231-0219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOYERS",
        "first_name": "JULIE",
        "middle_name": "ECKERT",
        "name_prefix": "Ms.",
        "credential": "LPC., RPT, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-19",
        "last_updated": "2009-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "20267",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "20267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1811986",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2009; 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.