Julie Ann Mosley, LPCC
Individual provider Active NPI Professional Counselor · Wilder, KY
NPI 1730595000 · NPPES record last updated Mar 20, 2020
Key facts
- NPI
- 1730595000
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 242058 (KY)
- Practice address
- 1 Moock Rd Ste 101
Wilder, KY 41071-5465 - Phone
- (859) 341-9333
- Fax
- (859) 341-9444
- NPI assigned
- Jul 8, 2014
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 242058 | KY | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 242058 | KY | Yes |
Addresses
Primary practice location
1 Moock Rd Ste 101
Wilder, KY 41071-5465
Mailing address
10100 Elida Rd
Delphos, OH 45833-9058
Phone (859) 341-9333
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100579510 | Medicaid | KY | |
| 242058 | Other | KY | KENTUCKY BOARD OF LICENSED PROFESSIONAL COUNSELORS |
Other providers in Wilder, KY
- Amanda Mae
- Tiffany Maple
- Akiko Marui
- Pamela Marie McCarthy
- Mindlift LLC
- Elizabeth Diane Moussas
- Christina Nash
- Savannah Leimomi O'Banion
- Patient AIDS Inc
- Progressive Rehabilitation
All providers in Wilder, KY · Professional Counselor in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 20, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.