Audrey Mosier, BS, MHP
Individual provider Active NPI Mental Health Counselor · Sullivan, IL
NPI 1104303056 · NPPES record last updated Jul 24, 2018
Key facts
- NPI
- 1104303056
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 12 W Harrison St
Sullivan, IL 61951-1907 - Phone
- (217) 728-4358
- NPI assigned
- Jul 24, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moultrie County Mental Health Center | Mental Health | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | IL | Yes |
Addresses
Primary practice location
12 W Harrison St
Sullivan, IL 61951-1907
Mailing address
12 W Harrison St
Sullivan, IL 61951-1907
Phone (217) 728-4358
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 261QM0801X | Medicaid | IL |
Other providers in Sullivan, IL
- Alexa Matthies
- Tabitha McMichael
- Medical Income Management Corp
- Macie Anna Miller
- Natalie Mitchem
- Moultrie Co
- Moultrie County Beacon
- Moultrie County Beacon, Inc.
- Moultrie County Mental Health Center
- Katrina Lynn Cook Murphy
All providers in Sullivan, IL · Mental Health Counselor in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.