Individual provider Active NPI

Jodell Lynn Moon, M.ED., LPC, LMHC

  • Mental Health Counselor
  • Oklahoma City, OK
National Provider Identifier
1477520716
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH61095791 Issued in WA
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

Updated by the provider on Mar 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1477250716MedicaidWY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY, OK2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240103004000 WY Practitioner - Mental Health Counselor 6901257914 Reassigns benefits to 2 organizations
I20260217004259 OK Practitioner - Mental Health Counselor 6901257914 Reassigns benefits to 1 organization

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
Talkspace Provider Network PAGroup PAC ID 5799136701, 249 clinicians

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

LicenseStateTypeSpecialty
LH61095791WAMDMental Health Counselor
6583OKMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
High Country Behavioral Health Current Accepting new patients
Talkspace Provider Network PA CurrentSince Dec 8, 2024 Accepting new patients
High Country Behavioral Health CurrentSince Jan 1, 2024 Accepting new patients
High Country Behavioral Health CurrentSince Jan 1, 2024 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.

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

Verify at the official NPI Registry.