Amber Brisa Moss, RMHCI

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

IMH11197 Issued in FL

Practice address

922 SW Baya Dr
Lake City, FL 32025-4209

Phone

(386) 754-9005

Fax

(386) 754-9017

NPI assigned

Oct 31, 2013

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1383177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383177600000",
    "number": "1003244971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20251 E LEVY ST",
            "city": "WILLISTON",
            "state": "FL",
            "postal_code": "326967375",
            "telephone_number": "508-254-5807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "922 SW BAYA DR",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320254209",
            "telephone_number": "386-754-9005",
            "fax_number": "386-754-9017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSS",
        "first_name": "AMBER",
        "middle_name": "BRISA",
        "credential": "RMHCI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-31",
        "last_updated": "2013-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH11197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward Nelson Morse, DMD
• Katharine L Morse, D.O.M.
• Lindsey Morton, LMHC
• Moser Family Therapy
• Paula F Moser, MSW
• Madonna Ann Moss, MSW
• Tiffani Mote
• Eyonna M Motley
• Kimberly Moutgalias, CTRS
• Kelly Tamara Mueller

• Mental Health Counselor in Lake City, FL
• Providers in Lake City, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.