NPIMap

Organization Active NPI

Sally K. Moseley, LPC, P.a.

  • Professional Counselor
  • Longview, TX
National Provider Identifier
1609088301
Registry record updated Jun 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
14242 Issued in TX
Legal business name
SALLY K. MOSELEY, LPC, P.A.
Practice address
1800 W Loop 281
Suite 207
Longview, TX 75604-2568
Phone
(903) 297-4592
NPI assigned
May 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2008

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

Authorized official

Name
Sally K Moseley, LPCNPI 1013006113
Title
Owner
Phone
(903) 297-4592

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 14242 TX Primary

Addresses

Primary practice location

1800 W Loop 281
Suite 207
Longview, TX 75604-2568

Mailing address

1800 W Loop 281
Suite 207
Longview, TX 75604-2568
Phone (903) 297-4592

Other identifiers 4

IdentifierTypeStateIssuer
1013006113OtherNPI INDIVIDUAL
028712001MedicaidTX
19GTOtherTXBLUE CROSS BLUE SHIELD
84049LOtherTXBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

1800 W Loop 281
Ste 207
Longview, TX 75604
Phone (903) 291-9800

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212451200000",
    "number": "1609088301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 W LOOP 281",
            "address_2": "SUITE 207",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756042568",
            "telephone_number": "903-297-4592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 W LOOP 281",
            "address_2": "SUITE 207",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756042568",
            "telephone_number": "903-297-4592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALLY K. MOSELEY, LPC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2008-06-03",
        "status": "A",
        "authorized_official_last_name": "MOSELEY",
        "authorized_official_first_name": "SALLY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-297-4592",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "14242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL",
            "identifier": "1013006113",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "028712001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "19GT",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "84049L",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; 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.