Individual provider Active NPI

Holly Blanc Moses, MS

  • Professional Counselor
  • Raleigh, NC
National Provider Identifier
1992976682
Registry record updated Sep 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
9109 Issued in NC
Practice address
140 Wind Chime CT Ste a
Raleigh, NC 27615-6580
Phone
(919) 946-3224
NPI assigned
Mar 20, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 9109 NC Primary

Addresses

Primary practice location

140 Wind Chime CT Ste a
Raleigh, NC 27615-6580

Mailing address

1109 Whippoorwill LN
Raleigh, NC 27609-3643
Phone (919) 813-9415

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 Science

State licenses

LicenseStateTypeSpecialty
9109NCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Crossvine Clinical Group, PLLC Professional CurrentSince Sep 12, 2021 Accepting new patients
Holly Blanc Moses, Bcba LPC PLLC Past Accepting new patients

Locations

140 Wind Chime Ct
Ste A
Raleigh, NC 27615
Phone (919) 946-3224

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1205971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630972800000",
    "number": "1992976682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 WHIPPOORWILL LN",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276093643",
            "telephone_number": "919-813-9415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 WIND CHIME CT STE A",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276156580",
            "telephone_number": "919-946-3224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSES",
        "first_name": "HOLLY",
        "middle_name": "BLANC",
        "name_prefix": "Mrs.",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-20",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "9109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2021; 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.