Active NPI
Charlotte Moss, PHD
- Psychologist
- Lees Summit, MO
National Provider Identifier
1386523470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 2025037600
- Practice address
- 300 SE 2ND St Ste 201
Lees Summit, MO 64063-2759 - Phone
- (816) 404-6179
- NPI assigned
- Sep 2, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 2025037600 | MO | Primary |
Addresses
Primary practice location
300 SE 2ND St Ste 201
Lees Summit, MO 64063-2759
Mailing address
300 SE 2ND St Ste 201
Lees Summit, MO 64063-2759
Phone (816) 404-6179
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2025037600 | MO | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756771200000",
"number": "1386523470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 SE 2ND ST STE 201",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640632759",
"telephone_number": "816-404-6179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 SE 2ND ST STE 201",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640632759",
"telephone_number": "816-404-6179"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSS",
"first_name": "CHARLOTTE",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-09-02",
"last_updated": "2025-09-02",
"certification_date": "2025-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MO",
"license": "2025037600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lees Summit, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.