Individual provider Active NPI

Milton Lee Moss Jr., MA

  • Mental Health Counselor
  • Tampa, FL
National Provider Identifier
1316292717
Registry record updated Jul 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH9891 Issued in FL
Practice address
6811 N Central Ave
Tampa, FL 33604-5500
Phone
(813) 417-4397
Fax
(866) 457-5422
NPI assigned
Jul 21, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH9891 FL Primary
Professional Counselor 101YP2500X LPC007596 GA

Addresses

Primary practice location

6811 N Central Ave
Tampa, FL 33604-5500

Mailing address

11733 Carrollwood Cove Dr
Tampa, FL 33624-4534
Phone (813) 417-4397

Other names 1

  • Mr. Milton Lee Moss Professional name

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
MH9891FLMDMental Health Counselor
LPC007596GAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1342828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406419200000",
    "number": "1316292717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11733 CARROLLWOOD COVE DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336244534",
            "telephone_number": "813-417-4397",
            "fax_number": "866-457-5422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6811 N CENTRAL AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336045500",
            "telephone_number": "813-417-4397",
            "fax_number": "866-457-5422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSS",
        "first_name": "MILTON",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-21",
        "last_updated": "2014-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH9891",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC007596",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MILTON",
            "last_name": "MOSS",
            "middle_name": "LEE",
            "prefix": "MR.",
            "credential": "MA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2014; 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.