Individual provider Active NPI

James Brian Mosley, MA. , LPC

  • Professional Counselor
  • Alum Creek, WV
National Provider Identifier
1154484202
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1297 Issued in WV
Practice address
2162 Childress Road
Alum Creek, WV 25003
Phone
(304) 745-7837
NPI assigned
Dec 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X AP00939953 WV
Professional Counselor 101YP2500X 1297 WV Primary

Addresses

Primary practice location

2162 Childress Road
Alum Creek, WV 25003

Mailing address

PO Box 184
Alum Creek, WV 25003-0184
Phone (304) 989-3946

Other practice location 1

888 Oakwood Rd Ste 120
Charleston, WV 25314-2069
Phone (304) 989-3946

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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

Enrollment IDStateProvider typePAC IDDetails
I20240125003806 WV Practitioner - Mental Health Counselor 3779956016 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1995
Medicare assignment
May accept Medicare assignment
Group practices
Ridgeline ServicesGroup PAC ID 1850792896, 3 clinicians

Practice addresses (Care Compare)

2162 Childress Rd
Alum Creek, WV 25003-9546
Phone (304) 745-7837

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
AP00939953WVMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Seasons Treatment, LLC Professional CurrentSince Jan 31, 2018 Accepting new patients
Ridgeline Services Professional CurrentSince Jan 1, 2024 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1154484202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 184",
            "city": "ALUM CREEK",
            "state": "WV",
            "postal_code": "250030184",
            "telephone_number": "304-989-3946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2162 CHILDRESS ROAD",
            "city": "ALUM CREEK",
            "state": "WV",
            "postal_code": "25003",
            "telephone_number": "304-745-7837"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "888 Oakwood Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "WV",
            "postal_code": "253142069",
            "country_code": "US",
            "telephone_number": "304-989-3946",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOSLEY",
        "first_name": "JAMES",
        "middle_name": "BRIAN",
        "name_prefix": "Mr.",
        "credential": "MA. , LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WV",
            "license": "AP00939953",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WV",
            "license": "1297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alum Creek, WV

Sources for this page

Verify at the official NPI Registry.