Organization Active NPI

Moxie Counseling LLC

  • Professional Counselor
  • Wichita, KS
National Provider Identifier
1750122602
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
MOXIE COUNSELING LLC
Practice address
140 N Hydraulic St Ste 1000
Wichita, KS 67214-4246
Phone
(164) 444-0110
NPI assigned
Jun 4, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Authorized official

Name
Jennifer Dawn Cassity, LPCNPI 1346988029
Title
Owner
Phone
(316) 708-8273

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

140 N Hydraulic St Ste 1000
Wichita, KS 67214-4246

Mailing address

140 N Hydraulic St Ste 1000
Wichita, KS 67214-4246
Phone (164) 444-0110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240801002380 KS Part B Supplier - Clinic/Group Practice 2567909047 Receives reassigned benefits from 3 practitioners
Practice locations: Wichita, KS

National Provider Directory

National Provider Directory

Locations

140 N Hydraulic St
Ste 1000
Wichita, KS 67214
Phone (316) 444-0110

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1717459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727308800000",
    "number": "1750122602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 N HYDRAULIC ST STE 1000",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672144246",
            "telephone_number": "164-444-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 N HYDRAULIC ST STE 1000",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672144246",
            "telephone_number": "164-444-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOXIE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-04",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A",
        "authorized_official_last_name": "CASSITY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-708-8273",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.