Fabrice A. Mooney, LPC, LBP

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

1744 Issued in OK

Practice address

1320 E 9TH St
Unit 8
Edmond, OK 73034-5772

Phone

(405) 285-2080

Fax

(405) 285-2565

NPI assigned

Mar 15, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Optum Behavioral Care of Virginia, Inc.

  • Psychologist
  • Oklahoma City, OK
  • NPI 1134992548
  NPD
• Optum Behavioral Care of Virginia, Inc.

  • Clinical Social Worker
  • New Orleans, LA
  • NPI 1053290973
  NPD

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342569600000",
    "number": "1699809152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 E 9TH ST",
            "address_2": "UNIT 8",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730345772",
            "telephone_number": "405-285-2080",
            "fax_number": "405-285-2565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 E 9TH ST",
            "address_2": "UNIT 8",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730345772",
            "telephone_number": "405-285-2080",
            "fax_number": "405-285-2565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOONEY",
        "first_name": "FABRICE",
        "middle_name": "A.",
        "credential": "LPC, LBP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2012-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "1744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Montgomery, P.A
• Tate Montgomery, DDS
• Christian Moody
• Beth Moon, LMFT-C
• Tabitha Moon
• Casie Lea Moore, LPC
• Claire Lauren Moore, OD
• Cory Ryan Moore
• Deborah Jayne Moore, L.P.C.
• Deborah Jean Moore, LPC

• Professional Counselor in Edmond, OK
• Providers in Edmond, OK by specialty
• Professional Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2012; 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.