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MISS MARY KATHERINE MOULTON M.S.
NPI 1871752097
Counselor - Mental Health in Pryor, OK

Active since June 03, 2008PECOS EnrolledAccepts Medicare Assignment
231 E GRAHAM AVE, PRYOR, OK 74361(918) 825-1405(918) 825-1406 Get Directions Write a Review

NPPES record last updated: January 18, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Miss Mary Katherine Moulton M.s. NPPES

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

MISS MARY KATHERINE MOULTON M.S. (NPI 1871752097) is an individual mental health provider in Pryor, Oklahoma and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1871752097
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMISS MARY KATHERINE MOULTONCredential: M.S.
Location Address231 E GRAHAM AVEPryor, OK 74361-2436
Mailing Address5327 E 3rd StTulsa, OK 74112-1411 · (918) 850-6728
Phone(918) 825-1405
Fax(918) 825-1406
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateJune 3, 2008
Last NPPES UpdateJanuary 18, 2011
✔ NPI 1871752097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
231 E GRAHAM AVE, Pryor, OK 74361
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Other Names 1

Other Name (5)K.k. Moulton

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, CommunityCare, Medica and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Miss Mary Katherine Moulton M.s. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2961948567
PECOS Enrollment IDI20240718004669
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.

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.

TRACY PRUITT
Case Manager/Care Coordinator
231 E GRAHAM AVE
PRYOR, OK 74361
Mayes County (918) 825-1405
MICKI ERWIN
Licensed Practical Nurse
231 E GRAHAM AVE
PRYOR, OK 74361
Mayes County (844) 458-2100
TEDDY ALLEN PENNYPACKER RN
Registered Nurse (Case Management)
231 E GRAHAM AVE
PRYOR, OK 74361
Mayes County (918) 825-1405
HILARY NICOLE ADMIRE
Case Manager/Care Coordinator
231 E GRAHAM AVE
PRYOR, OK 74361
Mayes County (918) 825-1405
JACQUELINE MARIE FLYNN
Counselor (Mental Health)
231 E GRAHAM AVE
PRYOR, OK 74361
Mayes County (918) 825-1405
JO ANNE RENEE HENDERSON BA
Case Manager/Care Coordinator
231 E GRAHAM AVE
PRYOR, OK 74361
Mayes County (918) 825-1405
SHANNON RENE' STABERS
Peer Specialist
231 E GRAHAM AVE
PRYOR, OK 74361
Mayes County (918) 825-1406
LISA MIKSELL
Peer Specialist
231 E GRAHAM AVE
PRYOR, OK 74361
Mayes County (918) 825-1405

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 Mary Moulton's NPI number?

The NPI number for Mary Moulton is 1871752097. It was assigned to this individual provider in the NPPES registry on June 3, 2008. The provider is also known as K.K. Moulton.

Where is Mary Moulton located?

Mary Moulton practices at 231 E Graham Ave, Pryor, OK 74361. The listed phone number is (918) 825-1405.

What is Mary Moulton's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Mary Moulton enrolled in Medicare?

Yes. Mary Moulton is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mary Moulton accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, CommunityCare, Medica, Mending Health and Oscar Insurance Company and 1 other insurer list Mary Moulton 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 Mary Moulton was last updated on January 18, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.