Active NPI
Mamie Lynn Moses, M.A., LPC
- Professional Counselor
- Baton Rouge, LA
National Provider Identifier
1568823946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 5774
- Practice address
- 1933 Carolyn Sue Dr
Suite 773
Baton Rouge, LA 70815-5509 - Phone
- (225) 928-9398
- Fax
- (225) 928-9490
- NPI assigned
- Mar 14, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 5774 | LA | Primary |
Addresses
Primary practice location
1933 Carolyn Sue Dr
Suite 773
Baton Rouge, LA 70815-5509
Mailing address
1933 Carolyn Sue Dr
Suite 773
Baton Rouge, LA 70815-5509
Phone (225) 928-9398
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5774 | LA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1457913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489536000000",
"number": "1568823946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1933 CAROLYN SUE DR",
"address_2": "SUITE 773",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708155509",
"telephone_number": "225-928-9398",
"fax_number": "225-928-9490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1933 CAROLYN SUE DR",
"address_2": "SUITE 773",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708155509",
"telephone_number": "225-928-9398",
"fax_number": "225-928-9490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSES",
"first_name": "MAMIE",
"middle_name": "LYNN",
"credential": "M.A., LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-14",
"last_updated": "2017-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "LA",
"license": "5774",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.