Active NPI
Khloe Mossman
- Behavior Analyst
- Chapel Hill, NC
National Provider Identifier
1578076535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-20-40687
- Practice address
- 50101 Governors Dr Ste 170
Chapel Hill, NC 27517-9257 - Phone
- (984) 254-5650
- Fax
- (317) 520-8200
- NPI assigned
- Nov 13, 2017
- 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 |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-20-40687 | NC | Primary |
Addresses
Primary practice location
50101 Governors Dr Ste 170
Chapel Hill, NC 27517-9257
Mailing address
3500 Depauw Blvd Ste 3070
Indianapolis, IN 46268-6135
Phone (855) 324-0885
Other practice location 1
111 Mackenan Dr
Cary, NC 27511-7903
Phone (919) 371-2848
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Center for Autism Services, LLC | Behavior Analyst | Past | Accepting new patients |
| The Carolina Center for ABA & Autism Treatment | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Behavior Analyst
- Durham, NC
- NPI 1912069303
-
- Community/Behavioral Health Agency
- Cary, NC
- NPI 1184027252
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673827200000",
"number": "1578076535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 DEPAUW BLVD STE 3070",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462686135",
"telephone_number": "855-324-0885",
"fax_number": "317-520-8200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50101 GOVERNORS DR STE 170",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275179257",
"telephone_number": "984-254-5650",
"fax_number": "317-520-8200"
}
],
"practiceLocations": [
{
"address_1": "111 Mackenan Dr",
"address_purpose": "LOCATION",
"city": "Cary",
"state": "NC",
"postal_code": "275117903",
"country_code": "US",
"telephone_number": "919-371-2848",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOSSMAN",
"first_name": "KHLOE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-13",
"last_updated": "2023-01-16",
"certification_date": "2023-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NC",
"license": "1-20-40687",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chapel Hill, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.