Tracee Moss, MS IN ED

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

E-0004017 Issued in OH

Practice address

3050 Southwind TRL
Youngstown, OH 44514-2880

Phone

(330) 953-1202

Fax

(330) 953-1204

NPI assigned

Jul 17, 2006

Last updated

Jan 6, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Mental Health Counselor

Education

Other, 2000

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Tracee Moss

  • Mental Health Counselor
  • Youngstown, OH
  • NPI 1588174304
  NPD Authorized official

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641427200000",
    "number": "1184641730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 SOUTHWIND TRL",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445142880",
            "telephone_number": "330-953-1202",
            "fax_number": "330-953-1204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 SOUTHWIND TRL",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445142880",
            "telephone_number": "330-953-1202",
            "fax_number": "330-953-1204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSS",
        "first_name": "TRACEE",
        "name_prefix": "Ms.",
        "credential": "MS IN ED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "E-0004017",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E-0004017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIS # MAGELLAN HEALTH SER",
            "identifier": "24875600",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cierra A Mosholder
• Marla J Moskowitz, OTRL
• Suzanne Moss-Stewart
• Charlie Moss
• Diana M Moss, RN
• Kofee L Mostella, LICDC
• Malisha Motley, LPN
• Mounir Awad, MD, Inc
• Ahmad Mourra, MD
• Samir Moussa, MD

• Mental Health Counselor in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2022; 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.

Verify at the official NPI Registry.