Gary Darryl Mosley Sr., PLADC -1481NE.

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

PLADC1481 Issued in NE

Practice address

Tamarak Building Suite 101 G
3035 Harney Street
Omaha, NE 68131-3500

Phone

(531) 389-8110

Fax

(531) 484-2781

NPI assigned

Nov 13, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Incrementling Peace Counseling Services LLC.

  dba Substance Abuse Counseling Services

  • Counselor
  • Omaha, NE
  • NPI 1972141893
  NPD

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

{
    "created_epoch": "1573603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573603200000",
    "number": "1184269235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4206 N 94TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681343948",
            "telephone_number": "402-298-0136",
            "fax_number": "531-484-2781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TAMARAK BUILDING SUITE 101 G",
            "address_2": "3035 HARNEY STREET",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681313500",
            "telephone_number": "531-389-8110",
            "fax_number": "531-484-2781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSLEY",
        "first_name": "GARY",
        "middle_name": "DARRYL",
        "name_suffix": "Sr.",
        "credential": "PLADC -1481NE.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-11-13",
        "last_updated": "2019-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NE",
            "license": "PLADC1481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gordon S Moshman, M.D.
• Karen Mosier
• Brandon Mosley
• Brontelle Mosley Sr.
• Brontelle Gene Mosley Jr.
• Jenelle Andrea Mosley
• Nola Mosley
• Taliyah R Mosley, NA
• Unique Mosley
• Emilee Mosman

• Addiction (Substance Use Disorder) Counselor in Omaha, NE
• Providers in Omaha, NE by specialty
• Addiction (Substance Use Disorder) Counselor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2019; 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.