Individual provider Active NPI

Cortnee Ann Irene Moseman, AA, BS, CADC

  • Addiction (Substance Use Disorder) Counselor
  • Medford, OR
National Provider Identifier
1003616277
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
T-24-4129 Issued in OR
Practice address
750 Biddle Rd
Medford, OR 97504-6178
Phone
(541) 690-1990
NPI assigned
Mar 17, 2025
Last updated
Mar 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X T-24-4129 OR Primary

Addresses

Primary practice location

750 Biddle Rd
Medford, OR 97504-6178

Mailing address

406 5TH St
Phoenix, OR 97535-0310
Phone (541) 613-8111

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
Associate of Arts, Bachelor of Science

State licenses

LicenseStateTypeSpecialty
T-24-4129ORMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1742169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1003616277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 5TH ST",
            "city": "PHOENIX",
            "state": "OR",
            "postal_code": "975350310",
            "telephone_number": "541-613-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 BIDDLE RD",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975046178",
            "telephone_number": "541-690-1990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSEMAN",
        "first_name": "CORTNEE",
        "middle_name": "ANN IRENE",
        "credential": "AA, BS, CADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-17",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "T-24-4129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

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