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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KYLIE MICHELLE MOAK MASTERS STUDENT
NPI 1407672371
Counselor - Addiction (Substance Use Disorder) in Tulsa, OK

Active since November 25, 2024
1055 S HOUSTON AVE, TULSA, OK 74127(720) 756-5715(918) 560-1399 Get Directions Write a Review

NPPES record last updated: September 9, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Kylie Michelle Moak Masters Student NPPES

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

KYLIE MICHELLE MOAK MASTERS STUDENT (NPI 1407672371) is an individual addiction (substance use disorder) provider in Tulsa, Oklahoma and active in the NPI registry since November 2024. She maintains a secondary practice location in Oklahoma City.

NPPES Registry Identity

NPI1407672371
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameKYLIE MICHELLE MOAKCredential: MASTERS STUDENT
Location Address1055 S HOUSTON AVETulsa, OK 74127-9043
Mailing Address1055 S Houston AveTulsa, OK 74127-9043 · (720) 756-5715 · Fax (918) 560-1399
Phone(720) 756-5715
Fax(918) 560-1399
Sole ProprietorNo
Enumeration DateNovember 25, 2024
Last NPPES UpdateSeptember 9, 2026
NPPES CertifiedSeptember 9, 2026
✔ NPI 1407672371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
1055 S HOUSTON AVE, Tulsa, OK 74127
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Secondary Practice Location 1

Location 16448 S Western AveOklahoma City, OK 73139-1717 · Phone (405) 939-5800

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.

MR. MARCO M SMITH SR.
Case Manager/Care Coordinator
1055 S HOUSTON AVE
TULSA, OK 74127
Osage County (918) 921-3200
ASHLIE LOVETT
Case Manager/Care Coordinator
1055 S HOUSTON AVE
TULSA, OK 74127
Osage County (918) 921-3200
SARA THERIAC APRN-CNP
Nurse Practitioner
1055 S HOUSTON AVE
TULSA, OK 74127
Osage County (918) 921-3200
ROBYN S WINOGRAD LMSW
Social Worker
1055 S HOUSTON AVE
TULSA, OK 74127
Osage County (918) 947-4237
LORRI ROMERO
Case Manager/Care Coordinator
1055 S HOUSTON AVE
TULSA, OK 74127
Osage County (918) 947-4200
HEIDI SAWYER
Case Manager/Care Coordinator
1055 S HOUSTON AVE
TULSA, OK 74127
Osage County (918) 921-3200
SARA VERGA M.D.
Psychiatry & Neurology (Psychiatry)
1055 S HOUSTON AVE
TULSA, OK 74127
Osage County (918) 921-3200
DR. NANCY SUE VOLAVKA PHD
Case Manager/Care Coordinator
1055 S HOUSTON AVE
TULSA, OK 74127
Osage County (918) 921-3200

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 Kylie Moak's NPI number?

The NPI number for Kylie Moak is 1407672371. It was assigned to this individual provider in the NPPES registry on November 25, 2024.

Where is Kylie Moak located?

Kylie Moak practices at 1055 S Houston Ave, Tulsa, OK 74127. The listed phone number is (720) 756-5715.

What is Kylie Moak's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Kylie Moak was last updated on September 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.