Active NPI
Deja' Moses
- Professional Counselor
- Towson, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC14848
- Practice address
- 22 W Pennsylvania Ave Ste 414
Towson, MD 21204-5003 - Phone
- (443) 281-9454
- NPI assigned
- Feb 23, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LC14848 | MD | Primary |
Addresses
Primary practice location
22 W Pennsylvania Ave Ste 414
Towson, MD 21204-5003
Mailing address
1341 Hill Born Dr
Hanover, MD 21076-1174
Phone (443) 942-2843
Other practice location 1
1341 Hill Born Dr
Hanover, MD 21076-1174
Phone (410) 774-5120
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1341 Hill Born Dr
Hanover, MD 21076-1174
14314 Old Marlboro Pike
Upper Marlboro, MD 20772-2840
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Authentic Corner, LLC | Mental Health | Current | Accepting new patients |
| Divine Counseling LLC | Current | Accepting new patients | |
| Empathetic Connections LLC | Current | Accepting new patients | |
| Divine Counseling LLC | Current | Accepting new patients | |
| Deevoted Dreamz LLC | Mental Health | Current | Accepting new patients |
Locations
90 Painters Mill Rd
Ste 135136
Owings Mills, MD 21117
Phone (443) 955-2662
1829 Reisterstown Rd
Ste 350
Pikesville, MD 21208
Phone (443) 226-1676
22 W Pennsylvania Ave
Ste 414
Towson, MD 21204
Phone (443) 281-9454
Organizations & group practices 6
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.
-
- Clinical Social Worker
- Owings Mills, MD
- NPI 1184291155
-
- Mental Health Counselor
- Hanover, MD
- NPI 1811675689
-
- Community/Behavioral Health Agency
- Owings Mills, MD
- NPI 1407537186
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Towson, MD
- NPI 1346896669
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713744000000",
"number": "1104410943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1341 HILL BORN DR",
"city": "HANOVER",
"state": "MD",
"postal_code": "210761174",
"telephone_number": "443-942-2843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 W PENNSYLVANIA AVE STE 414",
"city": "TOWSON",
"state": "MD",
"postal_code": "212045003",
"telephone_number": "443-281-9454"
}
],
"practiceLocations": [
{
"address_1": "1341 Hill Born Dr",
"address_purpose": "LOCATION",
"city": "Hanover",
"state": "MD",
"postal_code": "210761174",
"country_code": "US",
"telephone_number": "410-774-5120",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOSES",
"first_name": "DEJA'",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-23",
"last_updated": "2024-04-22",
"certification_date": "2024-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC14848",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Towson, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.