Active NPI
Holly Blanc Moses, MS
- Professional Counselor
- Raleigh, NC
National Provider Identifier
1992976682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 9109
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 9109 | NC | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crossvine Clinical Group, PLLC | Professional | Current | 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.
-
- Professional Counselor
- Raleigh, NC
- NPI 1154090876
-
- Mental Health Counselor
- Lenoir City, TN
- NPI 1902100118
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.