Active NPI
Marie Helene Moreau
- Mental Health Counselor
- Orlando, FL
National Provider Identifier
1891409934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 3125 Bruton Blvd Ste a
Orlando, FL 32805-6608 - Phone
- (407) 514-4470
- NPI assigned
- Jan 12, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
3125 Bruton Blvd Ste a
Orlando, FL 32805-6608
Mailing address
5526 Limestone St
Mount Dora, FL 32757-8058
Phone (407) 373-9858
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Registry | ||
| CONNECT URL | National | ||
| CONNECT URL | URL |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Community Care | Mental Health | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673481600000",
"number": "1891409934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5526 LIMESTONE ST",
"city": "MOUNT DORA",
"state": "FL",
"postal_code": "327578058",
"telephone_number": "407-373-9858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3125 BRUTON BLVD STE A",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328056608",
"telephone_number": "407-514-4470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOREAU",
"first_name": "MARIE",
"middle_name": "HELENE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-12",
"last_updated": "2023-01-12",
"certification_date": "2023-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Registry",
"affiliation": "N",
"address_1": "3125 Bruton Blvd Ste A",
"city": "Orlando",
"state": "FL",
"country_code": "US",
"postal_code": "328056608",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "National",
"affiliation": "N",
"address_1": "3125 Bruton Blvd Ste A",
"city": "Orlando",
"state": "FL",
"country_code": "US",
"postal_code": "328056608",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "URL",
"affiliation": "N",
"address_1": "3125 Bruton Blvd Ste A",
"city": "Orlando",
"state": "FL",
"country_code": "US",
"postal_code": "328056608",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Jan 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.