Individual provider Active NPI

Motselisi Moseme

  • Marriage & Family Therapist
  • Louisville, KY
National Provider Identifier
1689707952
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
105587 Issued in KY
Practice address
714 Lyndon LN
6
Louisville, KY 40222-4643
Phone
(502) 851-8831
Fax
(502) 326-8970
NPI assigned
Mar 14, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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 105587 KY Primary

Addresses

Primary practice location

714 Lyndon LN
6
Louisville, KY 40222-4643

Mailing address

714 Lyndon LN
Ste 6
Louisville, KY 40222-4643
Phone (502) 851-8831

Other practice location 1

708 Magazine St Ste 100
Louisville, KY 40203-2043
Phone (502) 589-8926

Other identifiers 2

IdentifierTypeStateIssuer
7100282460MedicaidKY
16896707952OtherKYNATIONAL PLAN AND PROVIDER ENUMERATION SYSTEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240715004240 KY Practitioner - Marriage and Family Therapist 0749725687 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Seven Counties Services, IncGroup PAC ID 1759294424, 92 clinicians

Practice addresses (Care Compare)

250 Alpine Dr
Shelbyville, KY 40065-8880
Phone (502) 633-5683

530 S Jackson St
Louisville, KY 40202-1675
Phone (502) 589-1100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
105587KYMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Seven Counties Services, Inc. Marriage & Family Therapist CurrentSince May 14, 2024 Accepting new patients

Locations

9702 Stonestreet Rd
Louisville, KY 40272
Phone (502) 588-0610

10401 Linn Station Rd
Ste 100
Louisville, KY 40223

530 S Jackson St
Louisville, KY 40202
Phone (502) 562-3000

708 Magazine St
Ste 100
Louisville, KY 40203
Phone (502) 589-8926

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": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1689707952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 LYNDON LN",
            "address_2": "STE 6",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402224643",
            "telephone_number": "502-851-8831",
            "fax_number": "502-326-8970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 LYNDON LN",
            "address_2": "6",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402224643",
            "telephone_number": "502-851-8831",
            "fax_number": "502-326-8970"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "708 Magazine St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402032043",
            "country_code": "US",
            "telephone_number": "502-589-8926",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOSEME",
        "first_name": "MOTSELISI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KY",
            "license": "105587",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100282460",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL PLAN AND PROVIDER ENUMERATION SYSTEM",
            "identifier": "16896707952",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.