Carly Moss

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC-19094 Issued in AZ

Practice address

4625 E Broadway Blvd Ste 105
Tucson, AZ 85711-3575

Phone

(520) 333-7261

NPI assigned

Jul 8, 2020

Last updated

Jul 8, 2020By the provider in NPPES

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

Other names 1

• Carly Morrow Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ridgeline Practice

  • Mental Health Counselor
  • Tucson, AZ
  • NPI 1356959951

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1594166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594166400000",
    "number": "1396363172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7712 N RED WING PL",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857411331",
            "telephone_number": "423-802-8414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4625 E BROADWAY BLVD STE 105",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857113575",
            "telephone_number": "520-333-7261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSS",
        "first_name": "CARLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-08",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-19094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARLY",
            "last_name": "MORROW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jamie Moskowitz, AGACNP-BC
• Mobeen Moslem, PHARMD
• Negeen Moslem, PHARMD
• Lilliana Mosley
• Mariah Ellen Mosley, NMD
• Greg Moss, DDS
• Mykal Moss
• Sara Moss
• Signe Lynne Moss, RPH
• Bijan Mossadeghi, MD

• Professional Counselor in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Professional Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2020; 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.