DR. MOE PECK (NPI# 1831308980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831308980 |
| Entity Type | Individual |
| Full Name | DR. MOE PECK |
| Credential | PH.D,ATR,LPC |
| Practice Address |
5617 Adams Ave Austin TX 78756-1102 |
| Mailing Address |
Po Box 33006 Austin TX 78764-0006 |
| Practice Telephone | 5125175860 |
| Mailing Telephone | 5125175860 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YP2500X |
Counselor Specialization: Professional |
13022 | TX | Behavioral Health & Social Service Providers |
| X | 221700000X | Art Therapist | 1602 | NM | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | PHCS | 107-19287 | 01 |
| Street Address |
5617 ADAMS AVE |
| City | AUSTIN |
| State | TX |
| Zip Code | 78756-1102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306977715 | Beth Lasker-ascotta | Counselor | 5617 Adams Ave, Austin, TX 78756-1102 | 2007-03-08 |
| 1528583648 | Margaret Francesca Fiero | Counselor | 5617 Adams Ave, Austin, TX 78756-1102 | 2017-08-09 |
| 1659811750 | Adrienne Clements | Marriage & Family Therapist | 5617 Adams Ave, Austin, TX 78756-1102 | 2017-03-08 |
| 1457572893 | Connie W Heaps | Counselor | 5617 Adams Ave, Austin, TX 78756-1102 | 2007-05-02 |
| 1174646707 | Lynn Rutherford | Counselor | 5617 Adams Ave, Austin, TX 78756-1102 | 2007-04-09 |
| 1457479693 | Christina J. Mason | Counselor | 5617 Adams Ave, Unit A, Austin, TX 78756-1102 | 2007-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053911347 | Sjel Diagnostics of Austin, Pllc | Electrodiagnostic Medicine | 3800 North Lamar Blvd Suite 200, Austin, TX 78756 | 2020-10-27 |
| 1801377874 | Rachel Gabriela Valdez | Counselor | 1508 North Street, Austin, TX 78756 | 2018-08-27 |
| 1225537111 | Lydian Dental Burnet Pllc | Dentist | 5531 Burnet Rd, Austin, TX 78756 | 2018-02-06 |
| 1508306432 | Quinton Dailey | Physical Therapist | 4000 Medical Pkwy Ste 100, Austin, TX 78756 | 2017-02-25 |
| 1316495757 | Nicole Williams Counseling | Clinic/Center | 3906 North Lamar Blvd, Suite 204 D, Austin, TX 78756 | 2016-09-14 |
| 1720431554 | John Graham Reed | Dentist | 4106 Marathon Blvd Ste A, Austin, TX 78756 | 2016-07-17 |
| 1720464779 | Kasey D Kuehler | Counselor | 3709 Medical Parkway, Suite 100, Austin, TX 78756 | 2015-07-31 |
| 1720497126 | Holly Elizabeth Bullion | Nurse Practitioner | 1101 W 40th St # 102, Austin, TX 78756 | 2014-08-11 |
| 1538506233 | Jessica Swanson | Emergency Medicine | 1400 St North I-35, Suite C2.230, Austin, TX 78756 | 2013-06-04 |
| 1740537836 | Austin Regional Home Care Inc. | Home Health | 3810 Medical Parkway, Suite 115, Austin, TX 78756 | 2012-08-08 |
| Find all providers in zip 78756 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457951675 | Caitlin R Battell | Counselor | 12805 Hughes St, Austin, TX 78732-1833 | 2020-10-27 |
| 1316546187 | Cathi Heare | Counselor | 1502 Ranch Road 620, Austin, TX 78734-7873 | 2020-10-22 |
| 1104425214 | Paul Lewis Duffy | Counselor | Counseling Services, 1625 Rutherford Ln., Austin, TX 78754 | 2020-10-20 |
| 1366040958 | Grace Wood | Counselor | 1621 E 6th St Apt 2212, Austin, TX 78702-3327 | 2020-10-15 |
| 1871191379 | Alexis Losch | Counselor | 13740 Research Blvd Ste L5, Austin, TX 78750-1833 | 2020-10-15 |
| 1518573880 | Brenda Lee Rodriguez | Counselor | 11001 S 1st St Apt 225, Austin, TX 78748-6765 | 2020-09-21 |
| 1174139794 | Julie Jackson | Counselor | 8208 Farmington Ct, Austin, TX 78736-1744 | 2020-09-18 |
| 1780290494 | Britney Juliane Watson | Counselor | 10701 S Interstate 35 Apt 113, Austin, TX 78747-1777 | 2020-09-17 |
| 1154936235 | David Barrett | Counselor | 2525 Wallingwood Dr Ste 216, Austin, TX 78746-6900 | 2020-09-15 |
| 1669084943 | Lutheran Social Services of The South, Inc. | Counselor | 10601 Derecho Drive, Austin, TX 78737-1013 | 2020-08-19 |
| Find all providers in AUSTIN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.