Enos Kenneth Moss Jr., RN, MSN, ANP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

2012011952 Issued in MO

Practice address

2025 S Brentwood Blvd Ste 209
Brentwood, MO 63144-1851

Phone

(636) 949-5760

Fax

(866) 440-9231

NPI assigned

Apr 23, 2012

Last updated

Jul 29, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

St. Charles Psychiatric Associates, Inc.Group PAC ID 0648431312, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Registered Nurse

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• St. Charles Psychiatric Associates, Inc.

  • Specialist
  • Weldon Spring, MO
  • NPI 1164631495
  Medicare reassignment Care Compare group NPD
• Psychological & Behavioral Consultants, LLC

  dba LifeStance Health

  • Psychiatry Physician
  • Beachwood, OH
  • NPI 1811915713

  MO

  Medicare reassignment NPD

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

{
    "created_epoch": "1335139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1548527997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 WELDON SPRING PKWY # 300",
            "city": "WELDON SPRING",
            "state": "MO",
            "postal_code": "633049101",
            "telephone_number": "636-949-5760",
            "fax_number": "866-440-9231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 S BRENTWOOD BLVD STE 209",
            "city": "BRENTWOOD",
            "state": "MO",
            "postal_code": "631441851",
            "telephone_number": "636-949-5760",
            "fax_number": "866-440-9231"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4801 Weldon Spring Pkwy # 300",
            "address_purpose": "LOCATION",
            "city": "Weldon Spring",
            "state": "MO",
            "postal_code": "633049101",
            "country_code": "US",
            "telephone_number": "636-949-5760",
            "fax_number": "866-440-9231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOSS",
        "first_name": "ENOS",
        "middle_name": "KENNETH",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "RN, MSN, ANP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-23",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MO",
            "license": "2012011952",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "2012011952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1548527997",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles Metz, O.D.
• Barbara Rochel Meyers
• Missouri College, Inc.
• Missouri CVS Pharmacy LLC (CVS Pharmacy #16476)
• Missouri CVS Pharmacy, L.L.C. (CVS Pharmacy #18002)
• Dorothy Nelson
• Laura Nolan
• Stephanie O'Brien
• Open Arms Mental Health Therapy LLC
• Optimal Movement Rehabilitation and Performance

• Psychiatric/Mental Health Nurse Practitioner in Brentwood, MO
• Providers in Brentwood, MO by specialty
• Psychiatric/Mental Health Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; 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.