Linda Marshall Moffatt, LPC, LADC, ICAD

Primary specialty

CounselorTaxonomy code 101Y00000X

License

LPC 504 Issued in OK

Practice address

1000 W Wilshire Blvd
Suite 220
Oklahoma City, OK 73116-7030

Phone

(405) 514-1561

Fax

(405) 879-3446

NPI assigned

Dec 29, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404172800000",
    "number": "1013073352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15612 TRADITIONS BLVD",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730131116",
            "telephone_number": "405-514-1561",
            "fax_number": "405-879-3446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W WILSHIRE BLVD",
            "address_2": "SUITE 220",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731167030",
            "telephone_number": "405-514-1561",
            "fax_number": "405-879-3446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOFFATT",
        "first_name": "LINDA",
        "middle_name": "MARSHALL",
        "name_prefix": "Ms.",
        "credential": "LPC, LADC, ICAD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-29",
        "last_updated": "2014-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OK",
            "license": "LPC  504",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OK",
            "license": "LADC 425",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": "ICADC  3978",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abby Michelle Moeller, PA-C
• Micah Moeller, MPT
• Hannah Moery, MD
• Kaylee Moesta
• H Dyke Moffatt, D.D.S.
• Mohamed Farouk Kanaa M.D., Inc.
• Walaa Mohamed, MD
• Aamir Mohammad, MD
• Ali A Mohammad, M.D.
• Shirin N Mohammad, MD

• Counselor in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2014; 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.