Active NPI
Karlie Moore
- Professional Counselor
- Woodward, OK
National Provider Identifier
1780355891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 12488
- Practice address
- 202639 E County Road 42
Woodward, OK 73801-5442 - Phone
- (580) 808-2002
- NPI assigned
- Sep 28, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 12488 | OK | Primary |
Addresses
Primary practice location
202639 E County Road 42
Woodward, OK 73801-5442
Mailing address
202639 E County Road 42
Woodward, OK 73801-5442
Phone (580) 808-2002
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
| License | State | Type | Specialty |
|---|---|---|---|
| 12488 | OK | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731888000000",
"number": "1780355891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202639 E COUNTY ROAD 42",
"city": "WOODWARD",
"state": "OK",
"postal_code": "738015442",
"telephone_number": "580-808-2002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202639 E COUNTY ROAD 42",
"city": "WOODWARD",
"state": "OK",
"postal_code": "738015442",
"telephone_number": "580-808-2002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "KARLIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-28",
"last_updated": "2024-11-18",
"certification_date": "2024-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OK",
"license": "12488",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodward, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.