Active NPI
Martina Gina Moss, CADCI
- Addiction (Substance Use Disorder) Counselor
- Silver Springs, NV
National Provider Identifier
1174942288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 01386
- Practice address
- 1080 S. Hwy 95a
Unit D
Silver Springs, NV 89429 - Phone
- (775) 577-4633
- Fax
- (775) 577-9937
- NPI assigned
- Apr 16, 2014
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 01386 | NV | Primary |
Addresses
Primary practice location
1080 S. Hwy 95a
Unit D
Silver Springs, NV 89429
Mailing address
720 S. Main St.
Suite C
Yerington, NV 89447
Phone (775) 463-6597
Other names 1
- Martina Gina Klimenko
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01386 | NV | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492819200000",
"number": "1174942288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 S. MAIN ST.",
"address_2": "SUITE C",
"city": "YERINGTON",
"state": "NV",
"postal_code": "89447",
"telephone_number": "775-463-6597",
"fax_number": "775-463-6598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1080 S. HWY 95A",
"address_2": "UNIT D",
"city": "SILVER SPRINGS",
"state": "NV",
"postal_code": "89429",
"telephone_number": "775-577-4633",
"fax_number": "775-577-9937"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSS",
"first_name": "MARTINA",
"middle_name": "GINA",
"credential": "CADCI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-16",
"last_updated": "2017-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NV",
"license": "01386",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARTINA",
"last_name": "KLIMENKO",
"middle_name": "GINA",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Silver Springs, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.