JENNIFER MELISSA MOSS (NPI# 1669001723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669001723 |
| Entity Type | Individual |
| Full Name | JENNIFER MELISSA MOSS |
| Credential | MFT |
| Practice Address |
12356 Ne Brazee St Portland OR 97230-1841 |
| Practice Telephone | 8082811494 |
| Mailing Telephone | 8082811494 |
| Enumeration Date | 2020-04-02 |
| Last Update Date | 2020-04-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 295 | HI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326537770 | Jennifer Griffin Moss | Specialist/Technologist, Other | 110 Northwynd Cir Ste B, Lynchburg, VA 24502-3451 | 2018-05-01 |
| 1770087470 | Jennifer Moss | Social Worker | 4251 Kipling St Unit 560, Wheat Ridge, CO 80033-6800 | 2018-03-19 |
| 1396031928 | Jennifer Tracy Moss | Speech-Language Pathologist | 11373 Sandstone Hill Ter, Boynton Beach, FL 33473-7805 | 2011-06-22 |
| 1508019993 | Jennifer M Moss | Obstetrics & Gynecology | 3019 Green Meadow Dr, San Angelo, TX 76904-6975 | 2008-10-29 |
| 1265690374 | Jennifer Lynne Goldman Moss | Internal Medicine | 4500 E 9th Ave Ste 560s, Denver, CO 80220-3934 | 2008-05-26 |
| 1396947875 | Jennifer Leigh Moss | Acupuncturist | 3352b Sacramento St, Suite 200, San Francisco, CA 94118-1912 | 2007-06-05 |
| 1831696079 | Jennifer Ashley Moss | Anesthesiology | 3444 Kearny Villa Rd, San Diego, CA 92123-1959 | 2018-04-12 |
| 1356841316 | Jennifer Moss | Case Manager/Care Coordinator | 750 N Freedom Blvd, Provo, UT 84601-1677 | 2018-02-16 |
| 1093244113 | Jennifer Ruth Moss | Psychologist | 1072 Grand Concourse, Bronx, NY 10456-3901 | 2017-06-12 |
| 1750816724 | Jennifer Anne Moss | Nurse Practitioner | 935 Siskiyou Blvd, Ashland, OR 97520-2143 | 2017-04-26 |
| Street Address |
12356 NE BRAZEE ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97230-1841 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932687233 | Timisha K Wilson | Social Worker | 12505 Ne Halsey St, Portland, OR 97230 | 2018-07-30 |
| 1356828768 | Sally Gail Logan | Pharmacist | 5725 Ne 138th Avenue, Portland, OR 97230 | 2018-07-27 |
| 1063937951 | Marley Elizabeth Small | Counselor | 1507 Ne 122nd Ave., Portland, OR 97230 | 2017-08-11 |
| 1447771316 | Shadab Nasreen Aijazi | Pathology | 5220 Ne 122nd Avenue, Portland, OR 97230 | 2017-06-30 |
| 1104378199 | Derek Andrus | Pharmacist | 5717 Nw 138th, Portland, OR 97230 | 2016-10-26 |
| 1164972675 | Rachael Anderson | Adult Companion | 423 Ne 160th Ave #11, Portland, OR 97230 | 2016-10-07 |
| 1750837597 | Providence Elderplace | Assisted Living Facility | 16430 Ne Hoyt St, Portland, OR 97230 | 2016-08-31 |
| 1649622473 | Sara Mcgroarty | Counselor | 17710 Ne Halsey Street, Portland, OR 97230 | 2016-07-05 |
| 1346699949 | Steven D Stanton | Counselor | 1022 Ne 181st Ave, C1, Portland, OR 97230 | 2016-06-06 |
| 1215390091 | The Wallace Medical Concern | Clinic/Center | 18139 Ne Couch Street, Portland, OR 97230 | 2016-03-30 |
| Find all providers in zip 97230 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669082061 | Kelsey Miller | Marriage & Family Therapist | 5515 N Williams Ave, Portland, OR 97217-2452 | 2020-07-31 |
| 1255959631 | Veronica Terese Valdez | Marriage & Family Therapist | 4445 S Barbur Blvd Ste 205, Portland, OR 97239-4047 | 2020-07-11 |
| 1649896630 | Moving Forward Staying Present LLC | Marriage & Family Therapist | 8083 Se 13th Ave Ste 3, Portland, OR 97202-6668 | 2020-06-25 |
| 1174153225 | Amanda Fitzpatrick | Marriage & Family Therapist | 5410 Sw Macadam Ave Ste 250, Portland, OR 97239-3807 | 2020-01-16 |
| 1679114003 | Craig Cardamone Individual and Relational Therapy Pllc | Marriage & Family Therapist | 12 Kellogg St Apt 1, Portland, ME 04101-4375 | 2019-10-07 |
| 1538716816 | Ayala Parker | Marriage & Family Therapist | 3540 Sw Boundary St, Portland, OR 97221-3817 | 2019-08-21 |
| 1720648363 | Alicia Roshelle Turgesen | Marriage & Family Therapist | 835 Se Stephens St Ste 202, Portland, OR 97214-4636 | 2019-06-17 |
| 1194281477 | Shelbee Louise Leach Macomber | Marriage & Family Therapist | 1520 Westbrook St, Portland, ME 04102-1621 | 2019-02-12 |
| 1508335704 | Jacqueline Marie Mular | Marriage & Family Therapist | 5550 Sw Macadam Suite 100, Portland, OR 97239 | 2018-11-16 |
| 1598233850 | Chelsea Carey | Marriage & Family Therapist | 8332 Sw 21st Ave Apt 1, Portland, OR 97219-2852 | 2018-11-05 |
| Find all providers in PORTLAND | ||||
Please comment or provide details below to improve the information on JENNIFER MELISSA 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.