Amanda Diane Mooney-Moss, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

77065 Issued in TX

Practice address

2039 S Wheeler St
Jasper, TX 75951-5603

Phone

(281) 766-9841

NPI assigned

Jul 29, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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, 2008

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  TX

  Medicare reassignment
• Shine Medical Providers PC

  • Psychiatry Physician
  • Philadelphia, PA
  • NPI 1538894050
  NPD (past)
• St Health TX, P.a.

  • Clinical Psychologist
  • New York, NY
  • NPI 1982476685
  NPD (past)

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

{
    "created_epoch": "1595980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742774400000",
    "number": "1366051096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 OGDEN ST",
            "city": "JASPER",
            "state": "TX",
            "postal_code": "759513434",
            "telephone_number": "409-420-2517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2039 S WHEELER ST",
            "city": "JASPER",
            "state": "TX",
            "postal_code": "759515603",
            "telephone_number": "281-766-9841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOONEY-MOSS",
        "first_name": "AMANDA",
        "middle_name": "DIANE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-29",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "77065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shalethia Middleton
• Durba Mishra, MD
• Stephanie Mitchell Despain, MS, CCC-SLP
• Karah Moccio, LCDCI
• Kimerli Ann Monroe, R. D., L.D.
• Ruby Morgan, RN, MSN, FNP-C
• Tina Suzanne Morris, MSN, APRN, FNP-C
• David Anthony Mosig, D.O.
• National Medical Group
• Pierre R Navarrete, P.T.

• Professional Counselor in Jasper, TX
• Providers in Jasper, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2025; 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.