Individual provider Active NPI

Charmanika Kesona Mosley, SCHOOL PSYCHOLOGIST

  • Mental Health Counselor
  • Merrillville, IN
National Provider Identifier
1649501784
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
39005423A Issued in IN
Practice address
8690 Broadway Ste a
Merrillville, IN 46410-7034
Phone
(219) 750-9600
NPI assigned
Jan 28, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 10114940 IN
Mental Health Counselor 101YM0800X 39005423A IN Primary

Addresses

Primary practice location

8690 Broadway Ste a
Merrillville, IN 46410-7034

Mailing address

2059 Govert Dr
Schererville, IN 46375-5126
Phone (708) 679-4349

Other names 1

  • Ms. Charmanika Kesona Williams Former name

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
39005423AINMDMental Health Counselor
10114940INMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Superpsyched, LLC Speech-Language Assistant CurrentSince Aug 1, 2021 Accepting new patients

Locations

8690 Broadway
Merrillville, IN 46410
Phone (219) 315-9700

8690 Broadway
Ste A
Merrillville, IN 46410
Phone (219) 627-2542

Organizations & group practices 1

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": "1264636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764720000000",
    "number": "1649501784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2059 GOVERT DR",
            "city": "SCHERERVILLE",
            "state": "IN",
            "postal_code": "463755126",
            "telephone_number": "708-679-4349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8690 BROADWAY STE A",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464107034",
            "telephone_number": "219-750-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSLEY",
        "first_name": "CHARMANIKA",
        "middle_name": "KESONA",
        "name_prefix": "Mrs.",
        "credential": "SCHOOL PSYCHOLOGIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-28",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "IN",
            "license": "10114940",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39005423A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHARMANIKA",
            "last_name": "WILLIAMS",
            "middle_name": "KESONA",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Merrillville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2025; 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.