Individual provider Active NPI

Geoffrey Moehl II, MFTI

  • Marriage & Family Therapist
  • Orlando, FL
National Provider Identifier
1861873432
Registry record updated Jun 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
IMT 1929 Issued in FL
Practice address
4038 Carolwood St
Orlando, FL 32812-7901
Phone
(407) 859-2968
NPI assigned
Jun 9, 2015
Last updated
Jun 9, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X IMT 1929 FL Primary

Addresses

Primary practice location

4038 Carolwood St
Orlando, FL 32812-7901

Mailing address

4038 Carolwood St
Orlando, FL 32812-7901
Phone (407) 859-2968

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
IMT 1929FLMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1433808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433808000000",
    "number": "1861873432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4038 CAROLWOOD ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328127901",
            "telephone_number": "407-859-2968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4038 CAROLWOOD ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328127901",
            "telephone_number": "407-859-2968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOEHL",
        "first_name": "GEOFFREY",
        "name_suffix": "II",
        "credential": "MFTI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-09",
        "last_updated": "2015-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "IMT 1929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2015; 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.