Active NPI
Montrel Moss, LSW, CDCA
- Mental Health Counselor
- Findlay, OH
National Provider Identifier
1619462306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- S.1802932
- Practice address
- 1918 N Main St
Findlay, OH 45840-3818 - Phone
- (419) 425-5050
- NPI assigned
- Jun 26, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Mental Health Counselor | 101YM0800X | S.1802932 | OH | Primary |
Addresses
Primary practice location
1918 N Main St
Findlay, OH 45840-3818
Mailing address
530 S Main St
Lima, OH 45804-1500
Phone (567) 371-4418
Other practice location 1
2627 Crystal Ave
Findlay, OH 45840-4459
Phone (567) 250-2226
Other practice location 2
76 Ashwood Dr
Tiffin, OH 44883
Phone (419) 448-9440
Other practice location 3
76 Ashwood Dr
Tiffin, OH 44883
Phone (419) 448-9440
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0318142 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S.1802932 | OH | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616457600000",
"number": "1619462306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "530 S MAIN ST",
"city": "LIMA",
"state": "OH",
"postal_code": "458041500",
"telephone_number": "567-371-4418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1918 N MAIN ST",
"city": "FINDLAY",
"state": "OH",
"postal_code": "458403818",
"telephone_number": "419-425-5050"
}
],
"practiceLocations": [
{
"address_1": "2627 Crystal Ave",
"address_purpose": "LOCATION",
"city": "Findlay",
"state": "OH",
"postal_code": "458404459",
"country_code": "US",
"telephone_number": "567-250-2226",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "76 Ashwood Dr",
"address_purpose": "LOCATION",
"city": "Tiffin",
"state": "OH",
"postal_code": "44883",
"country_code": "US",
"telephone_number": "419-448-9440",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "76 Ashwood Dr",
"address_purpose": "LOCATION",
"city": "Tiffin",
"state": "OH",
"postal_code": "44883",
"country_code": "US",
"telephone_number": "419-448-9440",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOSS",
"first_name": "MONTREL",
"credential": "LSW, CDCA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-06-26",
"last_updated": "2021-03-23",
"certification_date": "2021-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "S.1802932",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0318142",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Findlay, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.