Victor Morgan Moss Jr., ED.S.,LPC, LMFT, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701001495 Issued in VA

Practice address

6810 Teagle Lane
Gloucester, VA 23061

Phone

(804) 210-1104

Fax

(804) 210-1105

NPI assigned

Feb 28, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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

Marriage and Family Therapist

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Brshelton Companies LLCGroup PAC ID 3779944699, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Brshelton Companies LLC

  • Mental Health Counselor
  • Gloucester, VA
  • NPI 1174222160

  Addiction (Substance Use Disorder), VA

  Medicare reassignment Care Compare group NPD
• Steider & Associates, PLLC

  • Mental Health Counselor
  • Gloucester, VA
  • NPI 1710163084
  NPD (past)

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

{
    "created_epoch": "1330387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330387200000",
    "number": "1376817049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2133",
            "city": "GLOUCESTER",
            "state": "VA",
            "postal_code": "230612133",
            "telephone_number": "804-210-1104",
            "fax_number": "804-210-1105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6810 TEAGLE LANE",
            "city": "GLOUCESTER",
            "state": "VA",
            "postal_code": "23061",
            "telephone_number": "804-210-1104",
            "fax_number": "804-210-1105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSS",
        "first_name": "VICTOR",
        "middle_name": "MORGAN",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "ED.S.,LPC, LMFT, NCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-28",
        "last_updated": "2012-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701001495",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "VA",
            "license": "0717000752",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mobjack Medical Group
• Joseph Morris III, DO
• Vanessa Morris, LPC
• Anne Bennett Morrissette, PMHNP-BC
• Alicia Sierra Moss, M.A., CF -SLP
• David W Muffelman, M.D.
• Kyung-Mi Lim Murphy, M.D.
• Myt Holistic PLLC
• Glance Avon Neal II
• Jerrid Neeley

• Professional Counselor in Gloucester, VA
• Providers in Gloucester, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2012; 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.