Elijah Moss, LPC CANDIDATE

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPCCANDIDATE12861 Issued in OK

Practice address

4845 S Sheridan Rd Ste 509
Tulsa, OK 74145-5719

Phone

(405) 208-4469

NPI assigned

Jul 25, 2025

Last updated

Jul 25, 2025By the provider in NPPES

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

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

{
    "created_epoch": "1753401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753401600000",
    "number": "1407738735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 N 81ST ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740147453",
            "telephone_number": "918-863-6335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4845 S SHERIDAN RD STE 509",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741455719",
            "telephone_number": "405-208-4469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSS",
        "first_name": "ELIJAH",
        "credential": "LPC CANDIDATE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-07-25",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "LPCCANDIDATE12861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolyn D Mosley
• Natalie Marie Mosley, D.O.
• Jerean Mosquito
• Carrie Leigh Moss, P.T.
• Casi Moss, RN
• Ginni Moss
• Jordan Alexis Moss
• Lori J Moss
• McLain Moss
• David Mossman

• Mental Health Counselor in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Mental Health Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2025; 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.