Active NPI
Brian Moser
- Professional Counselor
- Sheffield Village, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 1902102
- Practice address
- 5338 Meadow Lane CT
Sheffield Village, OH 44035-1469 - Phone
- (216) 282-3838
- NPI assigned
- Jul 15, 2019
- Last updated
- Jan 23, 2025
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 1902102 | OH | Primary |
Addresses
Primary practice location
5338 Meadow Lane CT
Sheffield Village, OH 44035-1469
Mailing address
5338 Meadow Lane CT
Sheffield Village, OH 44035-1469
Phone (216) 282-3838
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0370148 | Medicaid | OH |
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 |
|---|---|---|---|
| 1902102 | OH | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Well Cleveland, LLC | Professional | Current | Accepting new patients |
Locations
3000 Bridge Ave
Ste 4
Cleveland, OH 44113
Phone (216) 282-3838
1662 Mars Ave
Ste 103
Lakewood, OH 44107
Phone (440) 895-7628
5338 Meadow Lane Ct
Sheffield Village, OH 44035
Phone (216) 282-3838
Organizations & group practices 1
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.
-
dba Grow Well Cleveland
- Mental Health Counselor
- Sheffield Village, OH
- NPI 1295244317
Professional
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737590400000",
"number": "1598317075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5338 MEADOW LANE CT",
"city": "SHEFFIELD VILLAGE",
"state": "OH",
"postal_code": "440351469",
"telephone_number": "216-282-3838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5338 MEADOW LANE CT",
"city": "SHEFFIELD VILLAGE",
"state": "OH",
"postal_code": "440351469",
"telephone_number": "216-282-3838"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSER",
"first_name": "BRIAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-07-15",
"last_updated": "2025-01-23",
"certification_date": "2025-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "1902102",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0370148",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sheffield Village, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.