Brad B Moser, MA, LMHC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

MH7813 Issued in FL

Practice address

6700 S Florida Ave
Suite 35
Lakeland, FL 33813-3327

Phone

(863) 644-8241

Fax

(863) 644-9025

NPI assigned

Aug 29, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174631147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 S FLORIDA AVE",
            "address_2": "SUITE 35",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338133327",
            "telephone_number": "863-644-8241",
            "fax_number": "863-644-9025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 S FLORIDA AVE",
            "address_2": "SUITE 35",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338133327",
            "telephone_number": "863-644-8241",
            "fax_number": "863-644-9025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSER",
        "first_name": "BRAD",
        "middle_name": "B",
        "credential": "MA, LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "FL",
            "license": "MH7813",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "Z064R",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Morrow, LMT
• Tabitha Morrow
• Alison Morse, DPT
• Morton & Brown LLC
• Marianne Moselle
• Taed Moses, PA-C
• Michelle Avelina Moskal, DDS
• Thomas Leopold Moskal, MD
• J. David Moskovitz, M. D.
• Carina Yvette Mosley, CCC-SLP

• Professional Counselor in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Professional Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.