Nicole Mouton

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

777 E 15TH St Apt 212
Edmond, OK 73013-5013

Phone

(321) 305-9814

NPI assigned

Feb 5, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1391558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602892800000",
    "number": "1659795086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 E 15TH ST APT 212",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730135013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 E 15TH ST APT 212",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730135013",
            "telephone_number": "321-305-9814"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "330 W Gray St Ste 140",
            "address_purpose": "LOCATION",
            "city": "Norman",
            "state": "OK",
            "postal_code": "730697118",
            "country_code": "US",
            "telephone_number": "321-305-9814",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6100 S Walker Ave",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "73139",
            "country_code": "US",
            "telephone_number": "405-510-3765",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOUTON",
        "first_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-05",
        "last_updated": "2020-10-17",
        "certification_date": "2020-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie C Motes, O.D.
• Krista Lynn Motley, M.S., CCC-SLP
• Robert Mottola, MSW, LCSW
• Nicole Janel Mourning, PHARMD
• Christine Mousa
• Courtney Moyer
• Steven B Moyer, O.D., M.P.H.
• Gracie J Moyers, M.A.
• Jessica Mueller, P.T.
• William Henry Mukes Jr., LMFT

• Mental Health Counselor in Edmond, OK
• Providers in Edmond, OK by specialty
• Mental Health Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.