Krystie Moss

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH 13639 Issued in FL

Practice address

210 N Highway 27 Ste 4
Clermont, FL 34711-2411

Phone

(352) 708-6283

NPI assigned

Mar 9, 2016

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

Other names 1

• Miss Krystie Birkholz Former name

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Life Counseling CenterGroup PAC ID 0648623835, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Family Life Counseling Center

  • Mental Health Counselor
  • Clermont, FL
  • NPI 1033665260
  Medicare reassignment Care Compare group NPD
• Cypress Grove Counseling Center LLC

  • Mental Health Counselor
  • Mount Dora, FL
  • NPI 1093324824
  NPD Authorized official

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

{
    "created_epoch": "1457481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1023479789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "741 TIMBERWILDE AVE",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327086308",
            "telephone_number": "540-850-9978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 N HIGHWAY 27 STE 4",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347112411",
            "telephone_number": "352-708-6283"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "741 Timberwilde Ave",
            "address_purpose": "LOCATION",
            "city": "Winter Springs",
            "state": "FL",
            "postal_code": "327086308",
            "country_code": "US",
            "telephone_number": "540-850-9978",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "858 S Duncan Dr",
            "address_purpose": "LOCATION",
            "city": "Tavares",
            "state": "FL",
            "postal_code": "327784044",
            "country_code": "US",
            "telephone_number": "352-708-6283",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9100 Conroy Windermere Rd",
            "address_purpose": "LOCATION",
            "city": "Windermere",
            "state": "FL",
            "postal_code": "347868431",
            "country_code": "US",
            "telephone_number": "352-708-6283",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1965 S Orange Blossom Trl",
            "address_purpose": "LOCATION",
            "city": "Apopka",
            "state": "FL",
            "postal_code": "327037757",
            "country_code": "US",
            "telephone_number": "352-708-6283",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 S Kentucky Ave",
            "address_purpose": "LOCATION",
            "city": "Lakeland",
            "state": "FL",
            "postal_code": "338015096",
            "country_code": "US",
            "telephone_number": "352-708-6283",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOSS",
        "first_name": "KRYSTIE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-09",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 13639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRYSTIE",
            "last_name": "BIRKHOLZ",
            "prefix": "MISS",
            "credential": "LMHC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sara Michele Morillo, PA-C
• Kevin Frederick Moring, LPN
• Susan B Mortimer, LPN
• Elnora Moses
• Ethan Moss
• Amba Devi Motilal, APRN
• Ms Consulting & Support Services LLC
• Ruba Hamdan Mubarak
• Jean-Pierre B. Muhumuza, M.D.
• Sara Muller

• Mental Health Counselor in Clermont, FL
• Providers in Clermont, 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 Jul 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.