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MOSS GAWAIN
NPI 1164103834
Peer Specialist in Broken Arrow, OK

Active since July 26, 2023
2548 E KENOSHA ST, BROKEN ARROW, OK 74014(918) 355-0993 Get Directions Write a Review

NPPES record last updated: February 18, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 18, 2025, Jul 26, 2023 (2 updates tracked since 2023).

About Moss Gawain NPPES

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

MOSS GAWAIN (NPI 1164103834) is an individual peer specialist in Broken Arrow, Oklahoma and active in the NPI registry since July 2023. She maintains a secondary practice location in Tulsa.

NPPES Registry Identity

NPI1164103834
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameMOSS GAWAIN
Location Address2548 E KENOSHA STBroken Arrow, OK 74014-6712
Mailing Address4103 S Yale Ave Ste BTulsa, OK 74135-6002 · (918) 382-7300 · Fax (918) 382-7302
Phone(918) 355-0993
Sole ProprietorNo
Enumeration DateJuly 26, 2023
Last NPPES UpdateFebruary 18, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 18, 2025
✔ NPI 1164103834 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
2548 E KENOSHA ST, Broken Arrow, OK 74014
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Other Names 1

Former Name (1)Alessandra Gabrielle Ragusin

Secondary Practice Location 1

Location 14103 S Yale Ave Ste BTulsa, OK 74135-6002 · Phone (918) 382-7300 · Fax (918) 382-7302

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.

GABRIELLA VELIZ
Case Manager/Care Coordinator
2548 E KENOSHA ST
BROKEN ARROW, OK 74014
Wagoner County (918) 355-0993
MRS. HADEACHA A SMITH
Case Manager/Care Coordinator
2548 E KENOSHA ST
BROKEN ARROW, OK 74014
Wagoner County (918) 355-0993
WADE BAILEY POTTER
Counselor
2548 E KENOSHA ST
BROKEN ARROW, OK 74014
Wagoner County (918) 355-0993
MR. CHAD SHINER MCDANIEL
Case Manager/Care Coordinator
2548 E KENOSHA ST
BROKEN ARROW, OK 74014
Wagoner County (918) 382-7300
STHEMBISO MITCHELLE MASEKO
Case Manager/Care Coordinator
2548 E KENOSHA ST
BROKEN ARROW, OK 74014
Wagoner County (918) 355-0993
REBEKAH FAITH-MARIE WEBSTER
Case Manager/Care Coordinator
2548 E KENOSHA ST
BROKEN ARROW, OK 74014
Wagoner County (918) 355-0995
CHERLINE CARMEN NELSON
Clinic/Center (Mental Health (Including Community Mental Health Center))
2548 E KENOSHA ST
BROKEN ARROW, OK 74014
Wagoner County (918) 355-0993
BETHANY LEIGH NOBLE
Case Manager/Care Coordinator
2548 E KENOSHA ST
BROKEN ARROW, OK 74014
Wagoner County (918) 355-0993

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 Moss Gawain's NPI number?

The NPI number for Moss Gawain is 1164103834. It was assigned to this individual provider in the NPPES registry on July 26, 2023. The provider is also known as Alessandra Gabrielle Ragusin.

Where is Moss Gawain located?

Moss Gawain practices at 2548 E Kenosha St, Broken Arrow, OK 74014. The listed phone number is (918) 355-0993.

What is Moss Gawain's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Moss Gawain was last updated on February 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.