KENYADA MOSS (NPI# 1275056566) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275056566 |
| Entity Type | Individual |
| Full Name | KENYADA MOSS |
| Practice Address |
762 Thurmond Dr. Macon GA 31204 |
| Mailing Address |
762 Thurmond Dr Macon GA 31204-1753 |
| Practice Telephone | (770) 570-0595 |
| Mailing Telephone | 7705700595 |
| Enumeration Date | 2017-07-19 |
| Last Update Date | 2017-07-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | GA | Behavioral Health & Social Service Providers |
| Street Address |
762 THURMOND DR. |
| City | MACON |
| State | GA |
| Zip Code | 31204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942775085 | Amy Lynn Miller | Counselor | 890 Northwoods Plaza/burrus Road, Macon, GA 31204 | 2018-10-04 |
| 1508303876 | Amber Foster | Counselor | 890 Northwoods Plaza, Macon, GA 31204 | 2017-01-25 |
| 1952757585 | Sarah Vanselous Spencer | Speech-Language Pathologist | 2720 Sheraton Dr # D-140, Macon, GA 31204 | 2016-05-12 |
| 1952706343 | Matthew Wayne Frazier | Pharmacist | 4260 Log Cabin Dr, Macon, GA 31204 | 2014-10-28 |
| 1215338587 | Sharon Yvette Flewellen | Licensed Practical Nurse | 1876 Moore Street, Macon, GA 31204 | 2014-09-05 |
| 1336565647 | Accel Wellness Center, LLC | Specialist | 3083 Vineville Avenue, Macon, GA 31204 | 2014-03-11 |
| 1821439811 | Irene Gung Ho | Physician Assistant | 3203 Vineville Ave Ste A, Macon, GA 31204 | 2013-07-08 |
| 1518125657 | Jennifer Burns | Marriage & Family Therapist | 116 Pierce Avenue, Macon, GA 31204 | 2008-05-27 |
| 1255599346 | Methodist Home of The South Georgia Conference, Inc. | Voluntary or Charitable | 304 Pierce Avenue, Macon, GA 31204 | 2008-05-27 |
| 1821219411 | Daniel Russell Mills | Social Worker | 3419 Ridge Ave., Macon, GA 31204 | 2007-05-01 |
| Find all providers in zip 31204 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225636392 | Courtney Hampton | Counselor | 1800 Wesleyan Dr Apt 95, Macon, GA 31210-1075 | 2020-10-12 |
| 1356953095 | Laqutia V Crawford | Counselor | 3918 Jeffersonville Rd, Macon, GA 31217-6022 | 2020-08-22 |
| 1083132047 | Jholder Counseling and Consultant Group, LLC | Counselor | 48 College St Ste C, Macon, GA 31201-1604 | 2017-08-30 |
| 1518494574 | Dimensions Alternative Solutions | Counselor | 2014 Riverside Dr Ste 2a, Macon, GA 31204-2055 | 2017-05-21 |
| 1164961595 | Jenny Scarborough | Counselor | 4855 Rivoli Dr, Macon, GA 31210-4105 | 2017-02-17 |
| 1649719550 | Motivation Behavioral Services | Counselor | 3312 Northside Dr Ste A140, Macon, GA 31210-0429 | 2017-02-13 |
| 1154793883 | Jason Martin | Counselor | 4406 Chambers Rd, Apt F11, Macon, GA 31206-4725 | 2015-10-21 |
| 1831439835 | Cynthia R. Ayers | Counselor | 1309 Magnolia St, Macon, MO 63552-2255 | 2013-02-27 |
| 1619246725 | Tim D Hemingway | Counselor | 4001 Vineville Ave, Macon, GA 31210-5039 | 2011-12-19 |
| 1649578931 | Julia Anne Adami | Counselor | 29670 Long Branch Lake Rd, Macon, MO 63552-3614 | 2011-03-10 |
| Find all providers in MACON | ||||
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| 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.