Jessica Moss

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

3900 Hursh Rd
Fort Wayne, IN 46845-9677

Phone

(260) 637-3608

NPI assigned

Jun 26, 2019

Sex

Female

Sole proprietor

No

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.

• A.W. Holdings, LLC

  • Mental Health Counselor
  • Fort Wayne, IN
  • NPI 1013578749
  NPD (past) Mental Health

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 26, 2019.

{
    "created_epoch": "1561507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561507200000",
    "number": "1285295691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8515 BLUFFTON RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468093022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 HURSH RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468459677",
            "telephone_number": "260-637-3608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSS",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-26",
        "last_updated": "2019-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jon Robert Moseby
• Kyle Moser, PA-C
• Samantha Moser
• Mir Abdul Karim Moshref, MD
• Mustafa Moshref
• Caleb Andrew Mossburg, PHARMD
• Ambria Moten, M.D.
• Christine Ann Motherwell, MSW, LMHC, LCSW
• Krista Motter, RPH
• Megan Ashleigh Motter, RDN

• All providers in Fort Wayne, IN
• Mental Health Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2019; 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.