Individual provider Active NPI

Moira McConnell, LPC, MA, NCC

  • Mental Health Counselor
  • Fredericksburg, VA
National Provider Identifier
1932712999
Registry record updated Apr 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0701011339 Issued in VA
Practice address
1616 Princess Anne St Ste a
Fredericksburg, VA 22401-3573
Phone
(434) 207-2653
NPI assigned
Aug 28, 2020
Last updated
Apr 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0701011339 VA Primary

Addresses

Primary practice location

1616 Princess Anne St Ste a
Fredericksburg, VA 22401-3573

Mailing address

1616 Princess Anne St Ste a
Fredericksburg, VA 22401-3573
Phone (434) 207-2653

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
Master of Arts

State licenses

LicenseStateTypeSpecialty
0701011339VAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cairn Counseling Mental Health CurrentSince Dec 28, 2022 Accepting new patients

Locations

1616 Princess Anne St
Ste A
Fredericksburg, VA 22401
Phone (434) 207-2653

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, 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": "1598572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681689600000",
    "number": "1932712999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 PRINCESS ANNE ST STE A",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224013573",
            "telephone_number": "434-207-2653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 PRINCESS ANNE ST STE A",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224013573",
            "telephone_number": "434-207-2653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCONNELL",
        "first_name": "MOIRA",
        "credential": "LPC, MA, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-28",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701011339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.

Verify at the official NPI Registry.