TRACEE MOSS (NPI# 1588174304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588174304 |
Entity Type | Organization |
Organization Name | TRACEE MOSS |
Practice Address |
25 N Canfield Niles Rd Ste 19 Austintown OH 44515-2308 |
Mailing Address |
25 N Canfield Niles Rd Ste 19 Austintown OH 44515-2328 |
Practice Telephone | 3309531202 |
Enumeration Date | 2017-10-06 |
Last Update Date | 2017-10-06 |
Authorized Official Name | TRACEE MOSS (OWNER) |
Authorized Official Telephone | 3309531202 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
E.0004017-SUPV | OH | Behavioral Health & Social Service Providers |
Street Address |
25 N CANFIELD NILES RD STE 19 |
City | AUSTINTOWN |
State | OH |
Zip Code | 44515-2308 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811505423 | Kelly Lynn Gargas | Registered Nurse | 1051 N Canfiled Niles Rd, Austintown, OH 44515 | 2020-07-20 |
1184241648 | Tashandi Magnus | Counselor | 45 N. Canfield Niles Rd., Austintown, OH 44515 | 2020-07-01 |
1255829925 | Edward M Vancise | Counselor | 2902 Penny Lane, Austintown, OH 44515 | 2018-04-27 |
1932627940 | Erin Michelle Rodgers | Occupational Therapist | 331 N. Yorkshire Blvd., Austintown, OH 44515 | 2017-08-30 |
1598281180 | Kathryn Elizabeth Pontius | Home Health | 209 North Yorkshire Blvd, Austintown, OH 44515 | 2017-08-16 |
1508387515 | Ashley Bryant | Registered Nurse | 1355 Maplecrest Dr, Youngstown, OH 44515 | 2017-06-29 |
1306384706 | Joyce Owens | Behavior Technician | 238 S. Meridian Rd., Austintown, OH 44515 | 2017-02-06 |
1982057493 | Renee K Morgan | Social Worker | 5204 Mahoning Ave Ste 105, Austintown, OH 44515 | 2016-07-20 |
1609266808 | Regina Leigh Cowell | Physical Therapist | 1450 South Canfield-niles Rd., Youngstown, OH 44515 | 2015-01-27 |
1942624507 | Susan Hogan | Speech-Language Pathologist | 245 Idaho Road Lynn Kirk Loop, Youngstown, OH 44515 | 2014-02-18 |
Find all providers in zip 44515 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518098334 | Psycare Inc | Counselor | 136 Westchester Drive, Suite 5, Austintown, OH 44515 | 2007-03-07 |
1528117918 | Ronald J Richards | Counselor | 5212 Mahoning Ave, Suite 305, Austintown, OH 44515 | 2007-01-09 |
1770199705 | Madeline Jeanne Cottrill | Counselor | 104 Javit Ct, Austintown, OH 44515-2439 | 2020-09-16 |
1932712304 | Jacob Konkolics | Counselor | 5204 Mahoning Ave Ste 105, Austintown, OH 44515-1808 | 2020-08-26 |
1639793938 | On Demand Counseling LLC | Counselor | 5760 Patriot Blvd Ste C, Austintown, OH 44515-1170 | 2020-06-02 |
1326691403 | Caleb William-thomas Folkerts | Counselor | 25 N Canfield Niles Rd, Austintown, OH 44515-2328 | 2019-07-18 |
1891352837 | Rora Michelle Tokash | Counselor | 104 Javit Ct, Austintown, OH 44515-2439 | 2019-05-24 |
1083134472 | Kaitlyn Humphrey | Counselor | 136 Westchester Dr Ste 5, Austintown, OH 44515-3965 | 2017-06-27 |
1467807313 | Maria Meadows | Counselor | 136 Westchester Dr Ste 5, Austintown, OH 44515-3965 | 2016-04-28 |
1063893758 | James B Vincent | Counselor | 136 Westchester Dr Ste 5, Austintown, OH 44515-3965 | 2015-06-18 |
Find all providers in AUSTINTOWN |
City | AUSTINTOWN |
Zip Code | 44515 |
Please comment or provide details below to improve the information on TRACEE 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.