Individual provider Active NPI

Christopher Adam Moseman, MA, LMHC

  • Mental Health Counselor
  • University Place, WA
National Provider Identifier
1689949596
Registry record updated Feb 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH60395966 Issued in WA
Practice address
4009 Bridgeport Way W
Suite G5
University Place, WA 98466-4326
Phone
(206) 683-2200
NPI assigned
Mar 12, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH60395966 WA Primary

Addresses

Primary practice location

4009 Bridgeport Way W
Suite G5
University Place, WA 98466-4326

Mailing address

4009 Bridgeport Way W
Suite G5
University Place, WA 98466-4326
Phone (206) 683-2200

Other identifiers 1

IdentifierTypeStateIssuer
1689949596MedicaidWA

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LH60395966WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Moseman Counseling Past Accepting new patients

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": "1331510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487030400000",
    "number": "1689949596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4009 BRIDGEPORT WAY W",
            "address_2": "SUITE G5",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984664326",
            "telephone_number": "206-683-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4009 BRIDGEPORT WAY W",
            "address_2": "SUITE G5",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984664326",
            "telephone_number": "206-683-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSEMAN",
        "first_name": "CHRISTOPHER",
        "middle_name": "ADAM",
        "credential": "MA, LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-12",
        "last_updated": "2017-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60395966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1689949596",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in University Place, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2017; 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.