Individual provider Active NPI

Jean-Ann Moses, LMHC

  • Mental Health Counselor
  • Altamonte Springs, FL
National Provider Identifier
1063081958
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH22940 Issued in FL
Practice address
1070 Montgomery Rd # 2296
Altamonte Springs, FL 32714-7420
Phone
(407) 850-8320
NPI assigned
Jun 23, 2021
Last updated
May 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH22940 FL Primary

Addresses

Primary practice location

1070 Montgomery Rd # 2296
Altamonte Springs, FL 32714-7420

Mailing address

1070 Montgomery Rd # 2296
Altamonte Springs, FL 32714-7420
Phone (407) 850-8320

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240816002588 FL Practitioner - Mental Health Counselor 9133667462 Reassigns benefits to 2 organizations
I20251119003303 SC Practitioner - Mental Health Counselor 9133667462 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10996SCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Resource Services, Inc. CurrentSince Jul 22, 2024 Accepting new patients
Victorious Living Counseling and Consulting LLC CurrentSince Jan 7, 2024 Accepting new patients
Grow Healthcare Group PA Mental Health CurrentSince Jul 5, 2024 Accepting new patients

Locations

715 Douglas Ave
Altamonte Springs, FL 32714
Phone (407) 654-4433

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

2813 S Hiawassee Rd
Ste 301
Orlando, FL 32835
Phone (321) 209-8219

13350 W Colonial Dr
Ste 340
Winter Garden, FL 34787
Phone (407) 654-4433

170 Meeting St
Ste 110
Charleston, SC 29401
Phone (704) 610-1304

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1624406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1063081958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 MONTGOMERY RD # 2296",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327147420",
            "telephone_number": "407-850-8320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1070 MONTGOMERY RD # 2296",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327147420",
            "telephone_number": "407-850-8320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSES",
        "first_name": "JEAN-ANN",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-23",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH22940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

Verify at the official NPI Registry.