Individual provider Active NPI

Karah Moccio, LCDCI

  • Addiction (Substance Use Disorder) Counselor
  • Jasper, TX
National Provider Identifier
1700385333
Registry record updated Feb 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
37764 Issued in TX
Practice address
1501C S Wheeler St
Jasper, TX 75951-5103
Phone
(409) 489-8299
NPI assigned
Feb 9, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 37764 TX Primary

Addresses

Primary practice location

1501C S Wheeler St
Jasper, TX 75951-5103

Mailing address

1501C S Wheeler St
Jasper, TX 75951-5103
Phone (409) 489-8299

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
37764TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
D.Scott Hughes Center for Counseling and Rehab Current Accepting new patients

Locations

1501C S Wheeler St
Jasper, TX 75951
Phone (409) 489-8299

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": "1518134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518134400000",
    "number": "1700385333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501C S WHEELER ST",
            "city": "JASPER",
            "state": "TX",
            "postal_code": "759515103",
            "telephone_number": "409-489-8299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501C S WHEELER ST",
            "city": "JASPER",
            "state": "TX",
            "postal_code": "759515103",
            "telephone_number": "409-489-8299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOCCIO",
        "first_name": "KARAH",
        "credential": "LCDCI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-09",
        "last_updated": "2018-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "37764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2018; 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.