Moxie Professional Counseling LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MOXIE PROFESSIONAL COUNSELING LLC

Practice address

333 State St Ste B
Newburgh, IN 47630-1270

Phone

(812) 777-5230

Fax

(812) 315-0222

NPI assigned

Aug 28, 2018

Organization subpart

No

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

Authorized official

Name

Nichole Devonshire, LCSWNPI 1457832438

Title

Owner

Phone

(812) 499-5004

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nichole E Devonshire, LCSW

  • Clinical Social Worker
  • Newburgh, IN
  • NPI 1457832438
  Medicare reassignment Care Compare group Authorized official
• Lisa Cossey, LCSW

  • Clinical Social Worker
  • Newburgh, IN
  • NPI 1457921199
  Medicare reassignment Care Compare group
• Julia K Tredway, MSW, LCSW

  • Clinical Social Worker
  • Vincennes, IN
  • NPI 1558416024
  Medicare reassignment Care Compare group
• Lora K Gray, LCSW

  • Clinical Social Worker
  • Vincennes, IN
  • NPI 1043218647
  Medicare reassignment
• Morgan Marczak, LCSW

  • Clinical Social Worker
  • Vincennes, IN
  • NPI 1568951192
  NPD (past)
• Sarah Kathryn Vaal, LMHC

  • Mental Health Counselor
  • Vincennes, IN
  • NPI 1386740546
  NPD (past)

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

{
    "created_epoch": "1535414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660780800000",
    "number": "1144701996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 784",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476290784",
            "telephone_number": "812-777-5230",
            "fax_number": "812-315-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 STATE ST STE B",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476301270",
            "telephone_number": "812-777-5230",
            "fax_number": "812-315-0222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5000 S Plaza Dr",
            "address_purpose": "LOCATION",
            "city": "Newburgh",
            "state": "IN",
            "postal_code": "47630",
            "country_code": "US",
            "telephone_number": "812-777-5230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MOXIE PROFESSIONAL COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-28",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A",
        "authorized_official_last_name": "DEVONSHIRE",
        "authorized_official_first_name": "NICHOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-499-5004",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul William Morrison, M.D., F.A.C.O.G.
• Katherine E Morton, PSYD, HSPP
• Sally Morton, R.N.C.N.S.
• Mohammad Bashar Mourad, M.D.
• Waleed Fouad Mourad, M.D
• Naghma Shireen Mufti, M.D.
• Aaron Blake Mull, M.D.
• Angela Kay Mullenix, MA, RD, CD, CDE
• Madison Mullinax, MT-BC
• Brittany M Murray, NP

• Clinical Social Worker in Newburgh, IN
• Providers in Newburgh, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.