Individual provider Active NPI

Andrea Isabelle Moya Munoz, PLC

  • Counselor
  • Frederick, MD
National Provider Identifier
1982380085
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
825 Issued in WV
Practice address
124 N Court St
Frederick, MD 21701-6614
Phone
(301) 304-7108
NPI assigned
Jun 23, 2023
Last updated
Jun 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 825 WV Primary

Addresses

Primary practice location

124 N Court St
Frederick, MD 21701-6614

Mailing address

220 W Washington St Apt 1
Charles Town, WV 25414-1544
Phone (917) 371-3601

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

OrganizationSpecialtyStatusNew patients
Hidden Peaces LLC Counselor PastSince Jun 1, 2023 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, 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": "1687478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750118400000",
    "number": "1982380085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 W WASHINGTON ST APT 1",
            "city": "CHARLES TOWN",
            "state": "WV",
            "postal_code": "254141544",
            "telephone_number": "917-371-3601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 N COURT ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217016614",
            "telephone_number": "301-304-7108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOYA MUNOZ",
        "first_name": "ANDREA",
        "middle_name": "ISABELLE",
        "credential": "PLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-23",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WV",
            "license": "825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; 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.