Moksa Yoga Therapy, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801083185 Issued in MI

Legal business name

MOKSA YOGA THERAPY, LLC

Practice address

2265 Livernois Rd Ste 260
Troy, MI 48083-1639

Phone

(985) 688-0208

Fax

(866) 656-1713

NPI assigned

Jan 15, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Marie Annette Fox, LMSWNPI 1659428258

Title

President

Phone

(986) 688-0208

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Fox Counseling & Associates Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 3

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

• Marie Annette Fox, LMSW

  • Clinical Social Worker
  • Troy, MI
  • NPI 1659428258
  Medicare reassignment NPD Authorized official
• Marieda A Bishop, MSW, ACSW

  • Clinical Social Worker
  • Royal Oak, MI
  • NPI 1508059718
  NPD (past)
• Betty Jane Thack, MA, LPC

  • Professional Counselor
  • Troy, MI
  • NPI 1639434111
  NPD (past)

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

{
    "created_epoch": "1295049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599523200000",
    "number": "1750686184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29696 SPOON AVE",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480714437",
            "telephone_number": "985-688-0208",
            "fax_number": "866-656-1713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2265 LIVERNOIS RD STE 260",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831639",
            "telephone_number": "985-688-0208",
            "fax_number": "866-656-1713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOKSA YOGA THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-15",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "ANNETTE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "986-688-0208",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801083185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "83314",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fox Counseling & Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fox Counseling & Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elham Moghaddam
• Farrukh Moghul, PT
• Mohammad Ghaemi, M. D.
• Rula Ramzi Mohammad, TTLP
• Ali Moiin, MD
• Gratian Alexandru Moldovan
• Shelby Patricia Molloseau, LMSW
• Molly O'Shea, MD, PLLC
• Molly Oshea PLLC
• Monarch Home Care

• Clinical Social Worker in Troy, MI
• Providers in Troy, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2020; 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.