JOHN MOSS (NPI# 1619147394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619147394 |
| Entity Type | Individual |
| Full Name | JOHN MOSS |
| Credential | CADC, CODP, QMHP |
| Practice Address |
1320 Union St Morris IL 60450-2426 |
| Mailing Address |
1148 County Road 27 Mountain Home AR 72653-7948 |
| Practice Telephone | 8159413142 |
| Enumeration Date | 2008-03-10 |
| Last Update Date | 2019-08-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
34538 | IL | Behavioral Health & Social Service Providers |
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 18 County Road 458, Mountain Home, AR 726538212 | 8704255252 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740273481 | John A Moss | Otolaryngology | 6230 Scott St, Suite 111, Punta Gorda, FL 33950-3940 | 2005-08-29 |
| 1063411841 | John Anthony Moss | Surgery | 6821 Palisades Park Ct Ste 1, Fort Myers, FL 33912-7131 | 2005-07-14 |
| 1003117045 | John Campbell Moss | Pharmacist | 315 S Hampton Rd, Dallas, TX 75208-5618 | 2010-11-08 |
| 1619130549 | John Moss | Internal Medicine | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2008-07-10 |
| 1790841476 | John N. Moss IIi | Physician Assistant | 700 Lilly Rd Ne, Olympia, WA 98506-5115 | 2006-12-28 |
| 1902974132 | John Phillip Moss | Pharmacist | 249 N Douglas Blvd, Midwest City, OK 73130-3309 | 2006-12-04 |
| 1457424764 | John Simpson Moss | Orthopaedic Surgery | 171 Nc Highway 125, Roanoke Rapids, NC 27870-6460 | 2006-11-16 |
| 1518052737 | John Moss | Counselor | 3285 N Arlington Heights Road, Suite 201, Arlington Heights, IL 60004 | 2006-10-04 |
| 1144291014 | John Edward Moss Jr. | Pediatrics | 901 E Cheves St, Suite 370, Florence, SC 29506-2716 | 2006-01-30 |
| 1588650634 | John J Moss | Anesthesiology | 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342-1606 | 2005-09-23 |
| Street Address |
1320 UNION ST |
| City | MORRIS |
| State | IL |
| Zip Code | 60450-2426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477686780 | Grundy County Health Department | Clinic/Center | 1320 Union St, Morris, IL 60450-2426 | 2007-03-14 |
| 1235787953 | Vessela Andreeva | Counselor | 1320 Union St, Morris, IL 60450-2426 | 2019-08-27 |
| 1184272908 | Sarah Beth Ezell | Counselor | 1320 Union St, Morris, IL 60450-2426 | 2019-08-27 |
| 1073161899 | Robin Cook | Counselor | 1320 Union St, Morris, IL 60450-2426 | 2019-08-27 |
| 1437707106 | Melissa Wasko | Counselor | 1320 Union St, Morris, IL 60450-2426 | 2019-08-27 |
| 1902453749 | Joann Feldges | Registered Nurse | 1320 Union St, Morris, IL 60450-2426 | 2019-08-26 |
| 1447807284 | Kellie Kennedy | Counselor | 1320 Union St, Morris, IL 60450-2426 | 2019-08-26 |
| 1952958704 | Amber Boeschel | Counselor | 1320 Union St, Morris, IL 60450-2426 | 2019-08-26 |
| 1023665312 | Kayla Stamm | Counselor | 1320 Union St, Morris, IL 60450-2426 | 2019-08-21 |
| 1881081685 | Omar S Waqhar | Psychiatry & Neurology | 1320 Union St, Morris, IL 60450-2426 | 2015-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376144691 | Jessica Kubinski | Occupational Therapist | 1051 W, Us-6, Morris, IL 60450 | 2020-11-03 |
| 1922646652 | Anna Doherty | Counselor | Crossroads Counseling Services, 1802 N Division St Suite 509, Morris, IL 60450 | 2019-12-12 |
| 1003353764 | Crossroads Counseling Services, LLC | Community/Behavioral Health | 1802 N Division Street, Suite 509, Morris, IL 60450 | 2017-01-19 |
| 1780128249 | Lori Lynn Peterson | Nurse Practitioner | 8805 N Tabler Road, Health & Wellness Clinic, Morris, IL 60450 | 2016-12-18 |
| 1639613532 | Jodi Lynn Valencia | Licensed Practical Nurse | 114 E. Benton St., Morris, IL 60450 | 2016-12-12 |
| 1184001844 | Ashish G. Suthar | Pharmacist | 1600 West Route 6, Morris, IL 60450 | 2015-05-01 |
| 1255690574 | Tammy S. Zweeres | Nurse Practitioner | 936 W. U.S. Route 6, Morris, IL 60450 | 2012-05-07 |
| 1952682742 | Marie E Monhardt | Nurse Practitioner | 801 So Washington Str, Naperville, IL 60450 | 2011-09-07 |
| 1093024200 | Diane Marie Zuelke | Nurse Practitioner | 1802 N Division St Ste 703, Morris, IL 60450 | 2010-10-05 |
| 1063669182 | Athletic & Therapeutic Institute of Naperville, LLC | Physical Therapist | 201 East U.S. Route 6, Morris, IL 60450 | 2008-08-20 |
| Find all providers in zip 60450 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861635393 | Dennis Robert Taffe | Counselor | 712 Atlantic Ave, Suite 3, Morris, MN 56267 | 2009-04-14 |
| 1295852754 | Christine Marie Banta | Counselor | 310 Montana Ave, Morris, MN 56267-1434 | 2007-03-22 |
| 1881796902 | Elizabeth Varnes | Counselor | 1401 Lakewood Dr Ste A, Morris, IL 60450-3352 | 2006-09-01 |
| 1447807284 | Kellie Kennedy | Counselor | 1320 Union St, Morris, IL 60450-2426 | 2019-08-26 |
| 1023665312 | Kayla Stamm | Counselor | 1320 Union St, Morris, IL 60450-2426 | 2019-08-21 |
| 1558915546 | Robin Calhoun-palermo | Counselor | 1401 Lakewood Dr, Morris, IL 60450-3352 | 2019-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669071932 | Euginia Ivanova | Counselor | 3410 W. Roosevelt Rd, Chicago, IL 60624 | 2020-10-19 |
| 1093322638 | New Horizon Mental and Behavioral Services | Counselor | 12052 S Lockwood Ave, Alsip, IL 60803-3165 | 2020-09-28 |
| 1780299818 | Sophia Bilikovsky | Counselor | 3025 Monterey Ln, Wadsworth, IL 60083-8924 | 2020-09-15 |
| 1497360697 | Cassandra Lynn Wegner | Counselor | 2529 Ravinia Ln, Woodridge, IL 60517-2241 | 2020-09-14 |
| 1831703131 | Colleen Mertens | Counselor | 100 Tower Dr Ste 236, Burr Ridge, IL 60527-5787 | 2020-09-03 |
| 1073127775 | Deborah Lynn Dettman | Counselor | 1209 W Sherwin Ave Apt 809, Chicago, IL 60626-2257 | 2020-09-01 |
| 1417574203 | Kathy O Valentin | Counselor | 1640 Pleasant Ln, Glenview, IL 60025-1847 | 2020-06-29 |
| 1669098844 | James Earl Brooks I | Counselor | 523 Clark St, South Beloit, IL 61080-1317 | 2020-06-23 |
| 1780200014 | Anchorpoint Adolescent Consultant Group Inc. | Counselor | 1246 N Yale Ave, Arlington Heights, IL 60004-4564 | 2020-06-23 |
| 1891311502 | Ashlie Jones | Counselor | 3226 Hoffman St, Plano, IL 60545-1992 | 2020-06-18 |
| Find all providers with the same taxonomy | ||||
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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.