Active NPI
Moe Peck, PH.D,ATR,LPC
- Art Therapist
- Austin, TX
National Provider Identifier
1831308980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Art Therapist
- License
- 1602
- Practice address
- 5617 Adams Ave
Austin, TX 78756-1102 - Phone
- (512) 517-5860
- NPI assigned
- May 22, 2007
- Last updated
- Sep 11, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 13022 | TX | |
| Art Therapist | 221700000X | 1602 | NM | Primary |
Addresses
Primary practice location
5617 Adams Ave
Austin, TX 78756-1102
Mailing address
PO Box 33006
Austin, TX 78764-0006
Phone (512) 517-5860
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 107-19287 | Other | TX | PHCS |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 13022 | TX | MD | Professional Counselor |
| 1602 | NM | MD | Art Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1831308980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 33006",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787640006",
"telephone_number": "512-517-5860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5617 ADAMS AVE",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787561102",
"telephone_number": "512-517-5860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PECK",
"first_name": "MOE",
"name_prefix": "Dr.",
"credential": "PH.D,ATR,LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-22",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "13022",
"primary": false
},
{
"code": "221700000X",
"taxonomy_group": "",
"desc": "Art Therapist",
"state": "NM",
"license": "1602",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS",
"identifier": "107-19287",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.