Organization Active NPI

Moss Grove Wellness & Counseling, LLC

  • Professional Counselor
  • Titusville, PA
National Provider Identifier
1609610567
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
MOSS GROVE WELLNESS & COUNSELING, LLC
Practice address
150 W Central Ave Ste 108
Titusville, PA 16354-1724
Phone
(814) 795-2870
NPI assigned
Jun 24, 2024
Last updated
Jun 24, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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

Authorized official

Name
Joseph Campasino, LAPCNPI 1568211134
Title
Owner/Clinician
Phone
(814) 795-2870

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
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

150 W Central Ave Ste 108
Titusville, PA 16354-1724

Mailing address

12157 Ghering Rd
Centerville, PA 16404-5735
Phone (814) 795-2870

Other practice location 1

124 Meadville St Ste 105
Edinboro, PA 16412-2502
Phone (814) 795-2870

National Provider Directory

National Provider Directory

Locations

150 W Central Ave
Ste 108
Titusville, PA 16354
Phone (814) 201-1325

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": "1719187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719187200000",
    "number": "1609610567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12157 GHERING RD",
            "city": "CENTERVILLE",
            "state": "PA",
            "postal_code": "164045735",
            "telephone_number": "814-795-2870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 W CENTRAL AVE STE 108",
            "city": "TITUSVILLE",
            "state": "PA",
            "postal_code": "163541724",
            "telephone_number": "814-795-2870"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "124 Meadville St Ste 105",
            "address_purpose": "LOCATION",
            "city": "Edinboro",
            "state": "PA",
            "postal_code": "164122502",
            "country_code": "US",
            "telephone_number": "814-795-2870",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MOSS GROVE WELLNESS & COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-24",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A",
        "authorized_official_last_name": "CAMPASINO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER/CLINICIAN",
        "authorized_official_telephone_number": "814-795-2870",
        "authorized_official_credential": "LAPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Titusville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.