Active NPI
Kofee L Mostella, LICDC
- Addiction (Substance Use Disorder) Counselor
- Youngstown, OH
National Provider Identifier
1477905008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 081261
- Practice address
- 110 Benita Ave
Youngstown, OH 44505-2506 - Phone
- (330) 861-2340
- NPI assigned
- Jul 7, 2016
- Reactivated
- Oct 17, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 081261 | OH | Primary |
Addresses
Primary practice location
110 Benita Ave
Youngstown, OH 44505-2506
Mailing address
110 Benita Ave
Youngstown, OH 44505-2506
Phone (330) 861-2340
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: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 081261 | OH | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760659200000",
"number": "1477905008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 BENITA AVE",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445052506",
"telephone_number": "330-861-2340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 BENITA AVE",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445052506",
"telephone_number": "330-861-2340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSTELLA",
"first_name": "KOFEE",
"middle_name": "L",
"credential": "LICDC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-07-07",
"last_updated": "2025-10-17",
"certification_date": "2022-11-15",
"deactivation_date": "2025-09-22",
"reactivation_date": "2025-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "081261",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Youngstown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.