Active NPI
Jodell Lynn Moon, M.ED., LPC, LMHC
- Mental Health Counselor
- Oklahoma City, OK
National Provider Identifier
1477520716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH61095791
- Practice address
- 14201 N Kentucky Ave
314
Oklahoma City, OK 73134 - Phone
- (405) 417-4541
- NPI assigned
- Mar 7, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LH61095791 | WA | Primary |
| Professional Counselor | 101YP2500X | 6583 | OK |
Addresses
Primary practice location
14201 N Kentucky Ave
314
Oklahoma City, OK 73134
Mailing address
14201 N Kentucky Ave
Oklahoma City, OK 73134-3427
Phone (405) 417-4541
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477250716 | Medicaid | WY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY, OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
59 N Granier Ave
Atlantic City, WY 82520-8816
Phone (309) 230-4000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LH61095791 | WA | MD | Mental Health Counselor |
| 6583 | OK | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| High Country Behavioral Health | Current | Accepting new patients | |
| Talkspace Provider Network PA | Current | Accepting new patients | |
| High Country Behavioral Health | Current | Accepting new patients | |
| High Country Behavioral Health | Current | Accepting new patients |
Locations
2578 Broadway
Ste 607
New York, NY 10025
Phone (304) 308-3735
190 Overthrust Rd
Evanston, WY 82930
Phone (307) 389-5764
Organizations & group practices 4
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- New York, NY
- NPI 1639814049
OK, WY
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Afton, WY
- NPI 1457472748
-
- Mental Illness Community Based Residential Treatment Facility
- Douglas, WY
- NPI 1750113882
-
- Recovery Care Clinic/Center
- Thermopolis, WY
- NPI 1851512750
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773014400000",
"number": "1477520716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14201 N KENTUCKY AVE",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731343427",
"telephone_number": "405-417-4541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14201 N KENTUCKY AVE",
"address_2": "314",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "73134",
"telephone_number": "405-417-4541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOON",
"first_name": "JODELL",
"middle_name": "LYNN",
"credential": "M.ED., LPC, LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-03-07",
"last_updated": "2026-03-09",
"certification_date": "2026-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH61095791",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OK",
"license": "6583",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1477250716",
"state": "WY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.