ERNEST MOSS (NPI# 1316921471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316921471 |
| Entity Type | Individual |
| Full Name | ERNEST MOSS |
| Credential | M.S., LPCC |
| Practice Address |
1001 W Broadway Ste D Suite D Farmington NM 87401-5638 |
| Mailing Address |
1001d West Broadway Suite D Farmington NM 87401 |
| Practice Telephone | 5055660339 |
| Practice Fax Number | 5053259113 |
| Mailing Telephone | 5055660339 |
| Mailing Fax Number | 5053259113 |
| Enumeration Date | 2005-12-02 |
| Last Update Date | 2012-01-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
712 | MT | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
0132481 | NM | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 095721902 | 05 | |
| TX | BLUECROSS AND BLUESHIELD | 82421L | 01 |
| Street Address |
1001 W BROADWAY STE D SUITE D |
| City | FARMINGTON |
| State | NM |
| Zip Code | 87401-5638 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336132356 | Darren Powell | Counselor | 1001 W Broadway Ste D, Farmington, NM 87401-5638 | 2005-08-24 |
| 1376142679 | Michelle M Medina | Case Manager/Care Coordinator | 1001 W Broadway Ste D, Farmington, NM 87401-5638 | 2020-10-19 |
| 1972117729 | Valaria Lisa Kee | Case Manager/Care Coordinator | 1001 W Broadway Ste D, Farmington, NM 87401-5638 | 2020-08-31 |
| 1255952826 | Breanna Smith | Case Manager/Care Coordinator | 1001 W Broadway Ste D, Farmington, NM 87401-5638 | 2020-05-05 |
| 1518506724 | Joni J Duran | Case Manager/Care Coordinator | 1001 W Broadway Ste D, Farmington, NM 87401-5638 | 2020-01-06 |
| 1144867706 | Marlene Jim | Behavioral Analyst | 1001 W Broadway Ste D, Farmington, NM 87401-5638 | 2019-12-03 |
| 1417503483 | James Andrew Bigham | Nurse Practitioner | 1001 W Broadway Ste D, Farmington, NM 87401-5638 | 2019-08-14 |
| 1679125124 | Joshua Norris Powell | Social Worker | 1001 W Broadway Ste D, Farmington, NM 87401-5638 | 2019-07-15 |
| 1043870330 | Karen A Silversmith | Case Manager/Care Coordinator | 1001 W Broadway Ste D, Farmington, NM 87401-5638 | 2019-06-18 |
| 1215595343 | Summer Popplewell | Case Manager/Care Coordinator | 1001 W Broadway Ste D, Farmington, NM 87401-5638 | 2019-06-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164035192 | Jaylene Miller | Behavior Technician | 912 Fairgrounds Rd. Trl 36, Farmington, NM 87401 | 2020-08-28 |
| 1255940326 | John Andrew Martinez | Behavioral Analyst | 211 N Auburn, Farmington, NM 87401 | 2020-07-24 |
| 1598304990 | Chasitity Beulah Nez | Behavior Technician | 37 Rd 7101 #127, Farmington, NM 87401 | 2020-01-02 |
| 1205478575 | Micah Magee | Speech-Language Pathologist | Farmington High School, 2200 N. Sunset Ave, Farmington, NM 87401 | 2019-10-08 |
| 1831659754 | Lelilah Todacheene | Social Worker | 1204 Camina Real, Farmington, NM 87401 | 2019-03-25 |
| 1306323555 | Litany of Life | Counselor | 1010 Ridgeway Place, Farmington, NM 87401 | 2018-07-20 |
| 1093291213 | Brittany Bigham | Nurse Practitioner | 1001 W Broadway Ste E, Farmington, NM 87401 | 2018-07-11 |
| 1528556305 | Hairoun Home Health | Home Health | 1200 East 20th Street, Farmington, NM 87401 | 2018-04-26 |
| 1003338732 | Silver Tongue Speech & Voice, LLC | Clinic/Center | 3001 Northridge Dr Ste C, Farmington, NM 87401 | 2017-07-14 |
| 1902256621 | Capacity Builders Inc | Taxi | 418 W Broadway, Farmington, NM 87401 | 2016-06-14 |
| Find all providers in zip 87401 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891318101 | Candace Michelle Garcia | Counselor | 6011 Arroyo Dr, Farmington, NM 87402-5366 | 2020-05-20 |
| 1770122954 | Elizabeth Mary Hrubiec Retano | Counselor | 304 Main St Ste 505, Farmington, CT 06032-2985 | 2020-01-05 |
| 1013402965 | Susan Elizabeth Valle | Counselor | 219 E Columbia St, Farmington, MO 63640-3106 | 2018-06-23 |
| 1851885735 | George Killian | Counselor | 400 N Washington St Ste 229, Farmington, MO 63640-1716 | 2018-06-14 |
| 1457842049 | Tara P Therapy, Pllc | Counselor | 128 Southwinds Rd Ste 5-6, Farmington, AR 72730-8652 | 2018-05-20 |
| 1861996613 | Simply Being Wellness Counseling | Counselor | 304 Main St Ste 214, Farmington, CT 06032-2985 | 2018-03-19 |
| 1558870089 | Charles Crawford | Counselor | 6275 Brownsville Rd, Farmington, NY 14425-9550 | 2017-09-27 |
| 1477073211 | Dustin Scott | Counselor | 400 N Washington St Ste 116, Farmington, MO 63640-1716 | 2017-06-22 |
| 1730612839 | William Blaine-wallace | Counselor | 456 New Vineyard Rd, Farmington, ME 04938-5216 | 2017-04-05 |
| 1508307463 | Simone Renee Darby | Counselor | 36996 Brittany Hill Dr, Farmington, MI 48335-2910 | 2017-03-12 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 87401 |
Please comment or provide details below to improve the information on ERNEST MOSS.
| 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.