Active NPI
Elissa E Mobley
- Counselor
- Atoka, OK
National Provider Identifier
1134563414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 1410 S Gin Rd
Atoka, OK 74525 - Phone
- (580) 889-3399
- NPI assigned
- Apr 17, 2013
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
1410 S Gin Rd
Atoka, OK 74525
Mailing address
2111 Meadowlark LN
Idabel, OK 74745-3726
Phone (318) 393-9172
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200287120A | Medicaid | OK |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366243200000",
"number": "1134563414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2111 MEADOWLARK LN",
"city": "IDABEL",
"state": "OK",
"postal_code": "747453726",
"telephone_number": "318-393-9172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1410 S GIN RD",
"city": "ATOKA",
"state": "OK",
"postal_code": "74525",
"telephone_number": "580-889-3399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOBLEY",
"first_name": "ELISSA",
"middle_name": "E",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-04-17",
"last_updated": "2013-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200287120A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Atoka, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.