Individual provider Active NPI

Jitani Mosley, LMFTA

  • Marriage & Family Therapist
  • Puyallup, WA
National Provider Identifier
1609587526
Registry record updated Feb 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MG61367874 Issued in WA
Practice address
1011 E Main Ste 103
Puyallup, WA 98372-6768
Phone
(253) 236-3103
NPI assigned
Dec 12, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MG61367874 WA Primary

Addresses

Primary practice location

1011 E Main Ste 103
Puyallup, WA 98372-6768

Mailing address

1011 E Main Ste 103
Puyallup, WA 98372-6768
Phone (253) 236-3103

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jmosley@hopedevelopmentp.com

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

State licenses

LicenseStateTypeSpecialty
MG61367874WAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1670803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677024000000",
    "number": "1609587526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 E MAIN STE 103",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983726768",
            "telephone_number": "253-236-3103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 E MAIN STE 103",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983726768",
            "telephone_number": "253-236-3103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSLEY",
        "first_name": "JITANI",
        "credential": "LMFTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-12",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "MG61367874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmosley@hopedevelopmentp.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "address_1": "1011 E Main Ste 103",
            "city": "Puyallup",
            "state": "WA",
            "country_code": "US",
            "postal_code": "983726768",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.

Verify at the official NPI Registry.