JACKIE DOROTHEA MOSER (NPI# 1306270186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306270186 |
| Entity Type | Individual |
| Full Name | JACKIE DOROTHEA MOSER |
| Credential | LPC |
| Practice Address |
708 S Woodbine Rd Ste A Saint Joseph MO 64507-2098 |
| Mailing Address |
2536 N 26th St Saint Joseph MO 64506-1601 |
| Practice Telephone | 8166186259 |
| Mailing Telephone | 8166176259 |
| Enumeration Date | 2013-08-28 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
2013030909 | MO | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 10532862060 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3432 Ashland Ave, Saint Joseph, MO 645061333 | 8162793351 | |
| 116 W 4th St, Cameron, MO 644291713 | 8166176259 |
| Street Address |
708 S WOODBINE RD STE A |
| City | SAINT JOSEPH |
| State | MO |
| Zip Code | 64507-2098 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295228344 | Julie Odonnell Phd LLC | Clinic/Center | 708 S Woodbine Rd Ste A, Saint Joseph, MO 64507 | 2018-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346644044 | Janaha Anderson | Dental Hygienist | 4073 Se Cunningham Rd, St. Joseph, MO 64507 | 2014-10-09 |
| 1518229772 | Andrew L Walker | Radiology | 902 N Riverside Rd Ste 201, Saint Joseph, MO 64507 | 2012-06-13 |
| 1619105731 | Pamela M. Lotz | Clinical Nurse Specialist | 902 No. Riverside Rd, Suite 200, St. Joseph, MO 64507 | 2009-06-26 |
| 1356300735 | St Joseph Oncology Inc | Internal Medicine | 902 No Riverside Rd, Suite 200, St Joseph, MO 64507 | 2006-03-22 |
| 1962478560 | Douglas Chyatte | Neurological Surgery | 802 N Riverside Rd Ste 120, Saint Joseph, MO 64507 | 2006-02-24 |
| 1073089546 | Chaz Caleb Johnson | Physical Therapist | 5506 Corporate Dr Ste 1800, Saint Joseph, MO 64507 | 2018-10-22 |
| 1912369695 | Luke Nathan Prest | Pediatrics | 902 N Riverside Rd Ste 100, Saint Joseph, MO 64507 | 2016-03-22 |
| 1396007894 | Brian Wright Roe | Internal Medicine | 5514 Corporate Dr Ste 150, Saint Joseph, MO 64507 | 2012-06-11 |
| 1861873952 | Edison Derr II | Specialist/Technologist | 2214 Maple St, Saint Joseph, MO 64507-1413 | 2015-06-15 |
| 1184740342 | Progressive Community Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2612 Doniphan Ave, Saint Joseph, MO 64507-1457 | 2007-03-21 |
| Find all providers in zip 64507 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497364715 | Danyell Brown | Counselor | 501 S 36th St Ste 102, Saint Joseph, MO 64506-3067 | 2020-07-23 |
| 1669940433 | Care Mgt Solutions Services LLC | Counselor | 1334 S Manor Dr., Saint Joseph, MI 49085-3114 | 2018-11-08 |
| 1336624279 | Brandi Chatot | Counselor | 1101 Broad Street #8, Saint Joseph, MI 49085 | 2018-09-26 |
| 1467960922 | Jeremy Michael Malzon | Counselor | 1901 Niles Ave Ste 102, Saint Joseph, MI 49085-1615 | 2018-01-18 |
| 1194230003 | Cheryl Lynn Uldrich | Counselor | 3312 E Colony Sq, Saint Joseph, MO 64506-1505 | 2017-12-14 |
| 1326559964 | Amber Wheatley Wood | Counselor | 724 N. 22nd Street, Saint Joseph, MO 64506 | 2017-10-23 |
| 1104346055 | Felicia D. Flowers | Counselor | 1334 S. Manor Dr., Saint Joseph, MI 49085 | 2017-06-21 |
| 1053862060 | Living Well Concepts | Counselor | 3801 Oakland Ave, Suite 110, Saint Joseph, MO 64506-3622 | 2016-10-14 |
| 1477990174 | Bright Hope Counseling Center, Pllc | Counselor | 1101 Broad St Ste 8, Saint Joseph, MI 49085-2198 | 2013-06-04 |
| 1629314760 | Sandra N Dozier | Counselor | 4401 Amazonia Rd, Saint Joseph, MO 64505-1657 | 2012-12-18 |
| Find all providers in SAINT JOSEPH | ||||
| City | SAINT JOSEPH |
| Zip Code | 64507 |
Please comment or provide details below to improve the information on JACKIE DOROTHEA MOSER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.