NPIMap

Organization Active NPI

Tracee Moss

  • Mental Health Counselor
  • Youngstown, OH
National Provider Identifier
1588174304
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E.0004017-SUPV Issued in OH
Legal business name
TRACEE MOSS
Practice address
3050 Southwind TRL
Youngstown, OH 44514-2880
Phone
(330) 953-1202
Fax
(330) 953-1204
NPI assigned
Oct 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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

Authorized official

Name
Tracee MossNPI 1184641730
Title
Owner
Phone
(330) 953-1202

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X E.0004017-SUPV OH Primary

Addresses

Primary practice location

3050 Southwind TRL
Youngstown, OH 44514-2880

Mailing address

3050 Southwind TRL
Youngstown, OH 44514-2880
Phone (330) 953-1202

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1507248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719878400000",
    "number": "1588174304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 SOUTHWIND TRL",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445142880",
            "telephone_number": "330-953-1202",
            "fax_number": "330-953-1204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 SOUTHWIND TRL",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445142880",
            "telephone_number": "330-953-1202",
            "fax_number": "330-953-1204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRACEE MOSS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-06",
        "last_updated": "2024-07-02",
        "certification_date": "2024-06-27",
        "status": "A",
        "authorized_official_last_name": "MOSS",
        "authorized_official_first_name": "TRACEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-953-1202"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.0004017-SUPV",
            "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 Jul 2, 2024; 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.