Mary Katherine Moulton, M.S.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

4953 Issued in OK

Practice address

6372 S 80TH East Ave Apt a
Tulsa, OK 74133-3847

Phone

(918) 200-2037

Fax

(918) 818-3973

NPI assigned

Jun 3, 2008

Last updated

Sep 24, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 6

Addresses

Other identifiers 1

Other names 1

• Mary Moulton Other name

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Alliance Mental Health - Colorado LLCGroup PAC ID 6507211075, 21 clinicians

Alliance Mental Health, LLCGroup PAC ID 0345670733, 27 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Alliance Mental Health - Colorado LLC

  • Mental Health Counselor
  • Miami, OK
  • NPI 1205580040
  Medicare reassignment Care Compare group NPD
• Alliance Mental Health, LLC

  dba YCO Alliance

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Claremore, OK
  • NPI 1053602649

  Counselor

  Medicare reassignment Care Compare group NPD
• Bright Lives Counseling

  • Professional Counselor
  • Tulsa, OK
  • NPI 1902712045
  Authorized official Same address or phone
• Alliance Mental Health, LLC

  • Mental Health Counselor
  • Saddle River, NJ
  • NPI 1285520726
  NPD

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

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790208000000",
    "number": "1871752097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6372 S 80TH EAST AVE APT A",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741333847",
            "telephone_number": "918-200-2037",
            "fax_number": "918-818-3973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6372 S 80TH EAST AVE APT A",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741333847",
            "telephone_number": "918-200-2037",
            "fax_number": "918-818-3973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOULTON",
        "first_name": "MARY",
        "middle_name": "KATHERINE",
        "name_prefix": "Ms.",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-03",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OK",
            "license": "4953",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CO",
            "license": "0024311",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "0024311",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "4953",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "0024311",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "4953",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200391600A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "MOULTON",
            "credential": "MS, LPC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Fernando Motta, MD
• Micaela Rae Motzko, DO
• Christina Moua
• Kablia Moua
• Robert Gene Moult, D.O.
• Kelly Ranae Mounce, MS, LPC
• Kelsey Mount, AU.D.
• Angelyn Moura
• Sherri Lynn Mouse, PRSS
• Kayleigh Michelle Mouser, DPH

• Professional Counselor in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Professional Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.