Individual provider Active NPI

Cindy Moua, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Plano, TX
National Provider Identifier
1972248383
Registry record updated Dec 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1076141 Issued in TX
Practice address
4324 Mapleshade LN Ste 215
Plano, TX 75093-0050
Phone
(469) 817-5197
NPI assigned
Apr 29, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP61390838 WA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1076141 TX Primary

Addresses

Primary practice location

4324 Mapleshade LN Ste 215
Plano, TX 75093-0050

Mailing address

4324 Mapleshade LN Ste 215
Plano, TX 75093-0050
Phone (469) 817-5197

Other practice location 1

100 N Howard St Ste 5198
Spokane, WA 99201-0508
Phone (248) 949-4493

Other practice location 2

1772 W McDermott Dr
Allen, TX 75013-3342
Phone (469) 340-2777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, WA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220622002272 TX Practitioner - Nurse Practitioner 0244619252 Reassigns benefits to 2 organizations
I20230724002073 WA Practitioner - Nurse Practitioner 0244619252 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4324 Mapleshade LN
Suite 215
Plano, TX 75093-0050
Phone (469) 817-5197

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1076141TXMDPsychiatric/Mental Health Nurse Practitioner
AP61390838WAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Reclaim Psychiatry PLLC Psychiatric/Mental Health CurrentSince Dec 13, 2024 Accepting new patients
Shahla Ali MD PA CurrentSince Jun 1, 2022 Accepting new patients
Shahla Ali MD PA CurrentSince Jun 1, 2022 Accepting new patients
Mindful Therapy Group PC Psychiatric/Mental Health CurrentSince Jul 11, 2023 Accepting new patients
Skycloud Psychiatry LLC Psychiatric/Mental Health Past Accepting new patients

Locations

1774 W McDermott Dr
Ste 150
Allen, TX 75013
Phone (469) 340-2777

4324 Mapleshade Ln
Ste 215
Plano, TX 75093
Phone (469) 817-5197

6505 216th St SW
Ste 100
Mountlake Terrace, WA 98043
Phone (425) 678-6463

21907 64th Ave W
Ste 200
Mountlake Terrace, WA 98043
Phone (410) 258-3698

320 NE 97th St
Ste A
Seattle, WA 98115
Phone (206) 323-8113

7600 NE 41st St
Ste 200
Vancouver, WA 98662
Phone (360) 205-5977

Organizations & group practices 5

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": "1651190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734825600000",
    "number": "1972248383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4324 MAPLESHADE LN STE 215",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750930050",
            "telephone_number": "469-817-5197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4324 MAPLESHADE LN STE 215",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750930050",
            "telephone_number": "469-817-5197"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 N Howard St Ste 5198",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992010508",
            "country_code": "US",
            "telephone_number": "248-949-4493",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1772 W McDermott Dr",
            "address_purpose": "LOCATION",
            "city": "Allen",
            "state": "TX",
            "postal_code": "750133342",
            "country_code": "US",
            "telephone_number": "469-340-2777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOUA",
        "first_name": "CINDY",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-29",
        "last_updated": "2024-12-22",
        "certification_date": "2024-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61390838",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1076141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.