Organization Active NPI

Kharvena Moss Counseling Services

  • Community/Behavioral Health Agency
  • Riverside, CA
National Provider Identifier
1568825107
Registry record updated Mar 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
91939 Issued in CA
Legal business name
KHARVENA MOSS COUNSELING SERVICES
Practice address
5053 La Mart Dr Ste 105
Riverside, CA 92507-5993
Phone
(951) 500-5777
NPI assigned
Mar 31, 2016
Last updated
Mar 31, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2016

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

Authorized official

Name
Kharvena D MossNPI 1023317070
Title
Marriage and Family Therapist
Phone
(951) 500-5777

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 91939 CA Primary

Addresses

Primary practice location

5053 La Mart Dr Ste 105
Riverside, CA 92507-5993

Mailing address

5053 La Mart Dr Ste 105
Riverside, CA 92507-5993
Phone (951) 500-5777

National Provider Directory

National Provider Directory

Locations

5053 La Mart Dr
Ste 105
Riverside, CA 92507
Phone (951) 223-5646

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1459382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459382400000",
    "number": "1568825107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5053 LA MART DR STE 105",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925075993",
            "telephone_number": "951-500-5777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5053 LA MART DR STE 105",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925075993",
            "telephone_number": "951-500-5777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHARVENA MOSS COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-31",
        "last_updated": "2016-03-31",
        "status": "A",
        "authorized_official_last_name": "MOSS",
        "authorized_official_first_name": "KHARVENA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MARRIAGE AND FAMILY THERAPIST",
        "authorized_official_telephone_number": "951-500-5777"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "91939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2016; 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.