Katedria Mosley, BS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

116 SE Ave N
Idabel, OK 74745-5234

Phone

(580) 286-6671

NPI assigned

Sep 27, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

Practice roles

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

• Kiamchi Youth Services Inc

  • Community/Behavioral Health Agency
  • Idabel, OK
  • NPI 1861704652
  NPD (past)

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

{
    "created_epoch": "1285545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285545600000",
    "number": "1962711986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 NW FAIRVIEW ST",
            "city": "IDABEL",
            "state": "OK",
            "postal_code": "747452852",
            "telephone_number": "580-208-2309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 SE AVE N",
            "city": "IDABEL",
            "state": "OK",
            "postal_code": "747455234",
            "telephone_number": "580-286-6671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSLEY",
        "first_name": "KATEDRIA",
        "credential": "BS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-27",
        "last_updated": "2010-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Earl Moore, ATC
• Rosalyn Ann Moore, B.A
• Sandi Moore, LCSW
• Lorinda Gayle Morris, BHRS
• Natorrie D'Atra Morris, APRN
• Marisa Mullins
• Muskogee Vamc
• Te'Re Myrks
• Nancy K. Woodruff, MD, PC
• Kiamita R Natt

• Mental Health Counselor in Idabel, OK
• Providers in Idabel, OK by specialty
• Mental Health Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.