Individual provider Active NPI

Raquel Moeder, LCMFT

  • Marriage & Family Therapist
  • Salina, KS
National Provider Identifier
1902675861
Registry record updated Dec 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
920 Issued in KS
Practice address
651 E Prescott Rd
Salina, KS 67401-7408
Phone
(785) 825-7251
NPI assigned
Dec 20, 2023
Last updated
Dec 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2023

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 920 KS Primary

Addresses

Primary practice location

651 E Prescott Rd
Salina, KS 67401-7408

Mailing address

PO Box 35
Clearwater, KS 67026-0035
Phone (620) 545-5620

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20240201000909 KS Practitioner - Marriage and Family Therapist 5294188629 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

651 E Prescott Rd
Salina, KS 67401-7408

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
920KSMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Salina Health Education Foundation CurrentSince Jan 15, 2024 Accepting new patients
Salina Health Education Foundation CurrentSince Jan 15, 2024 Accepting new patients

Locations

2676 Planet Ave
Salina, KS 67401
Phone (785) 823-3937

651 E Prescott Rd
Salina, KS 67401
Phone (785) 825-7251

Organizations & group practices 2

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": "1703030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703030400000",
    "number": "1902675861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35",
            "city": "CLEARWATER",
            "state": "KS",
            "postal_code": "670260035",
            "telephone_number": "620-545-5620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 E PRESCOTT RD",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674017408",
            "telephone_number": "785-825-7251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOEDER",
        "first_name": "RAQUEL",
        "credential": "LCMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-20",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KS",
            "license": "920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salina, KS

Sources for this page

Verify at the official NPI Registry.