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MOFFOU KATHERINE TCHOULA
NPI 1003450511
Social Worker - Clinical in Columbus, OH

Active since October 29, 2019PECOS Enrolled
4488 W BROAD ST, COLUMBUS, OH 43228(614) 334-6903 Get Directions Write a Review

NPPES record last updated: March 17, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 12, 2019, Oct 29, 2019 (2 updates tracked since 2019).

About Moffou Katherine Tchoula NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOFFOU KATHERINE TCHOULA (NPI 1003450511) is an individual clinical provider in Columbus, Ohio, licensed in Ohio (I.2102824-SUPV) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Columbus, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1003450511
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMOFFOU KATHERINE TCHOULA
Location Address4488 W BROAD STColumbus, OH 43228-5610
Mailing Address4000 E Main StColumbus, OH 43213-2950 · (614) 334-6903
Phone(614) 334-6903
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateOctober 29, 2019
Last NPPES UpdateMarch 17, 20242 updates tracked since enumeration
NPPES CertifiedMarch 17, 2024
✔ NPI 1003450511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in OH · I.2102824-SUPV
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
4488 W BROAD ST, Columbus, OH 43228
Open in Google Maps ↗

Secondary Practice Location 1

Location 13763 N High StColumbus, OH 43214-3547 · Phone (614) 406-0299

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Moffou Katherine Tchoula is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7618359373
PECOS Enrollment IDI20220728001060
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Moffou Tchoula reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lighthouse Behavioral Health Solutions, LLC
12 mi
Rehabilitation, Substance Use Disorder
4000 E MAIN ST
Columbus, OH 43213
  • Reassigned Medicare billing, Ohio enrollment
  • 19 clinicians in this Medicare group
NPI 1629560230 (614) 334-6903

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43228 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.34 – $166.65
Typical copayment $0.00 (range $13.58 – $41.66)
Most-billed visit code NA
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PATRICK LEY SEYMOUR
Assistant Behavior Analyst
4488 W BROAD ST
COLUMBUS, OH 43228
Franklin County (614) 639-5494
MS. SYLVIA M ARDIS MFT
Marriage & Family Therapist
4488 W BROAD ST
COLUMBUS, OH 43228
Franklin County (614) 877-0667
MICHAEL SCHAEFER P.C.C.
Counselor (Professional)
4488 W BROAD ST
COLUMBUS, OH 43228
Franklin County (614) 870-6670
JOANNA MCCLAIN LCDC III
Counselor (Addiction (Substance Use Disorder))
4488 W BROAD ST
COLUMBUS, OH 43228
Franklin County (614) 639-5494
KYLE DINGMAN
Peer Specialist
4488 W BROAD ST
COLUMBUS, OH 43228
Franklin County (614) 639-5494
MARY E SCOTT M.D INC.
Family Medicine
4488 W BROAD ST
COLUMBUS, OH 43228
Franklin County (614) 878-0470
ALEZANDRIA WINSTON
Case Manager/Care Coordinator
4488 W BROAD ST
COLUMBUS, OH 43228
Franklin County (614) 639-5494
MID OHIO ORAL SURGERY, INC.
Dentist (Oral and Maxillofacial Surgery)
4488 W BROAD ST
COLUMBUS, OH 43228
Franklin County (614) 878-7778

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Moffou Tchoula's NPI number?

The NPI number for Moffou Tchoula is 1003450511. It was assigned to this individual provider in the NPPES registry on October 29, 2019.

Where is Moffou Tchoula located?

Moffou Tchoula practices at 4488 W Broad St, Columbus, OH 43228. The listed phone number is (614) 334-6903.

What is Moffou Tchoula's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Moffou Tchoula enrolled in Medicare?

Yes. Moffou Tchoula is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Moffou Tchoula's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Moffou Tchoula reassigns Medicare benefits to Lighthouse Behavioral Health Solutions, LLC (Columbus, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Moffou Tchoula's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Moffou Tchoula accept?

Health plans from CareSource, MedMutual and Molina Healthcare list Moffou Tchoula as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Moffou Tchoula was last updated on March 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.