Shaquita Danielle Moss, MS, LPCA

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

A12146 Issued in NC

Practice address

725 Highland Ave Unit 100
Winston Salem, NC 27101-4181

Phone

(336) 607-8523

Fax

(336) 773-0915

NPI assigned

Mar 7, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Daymark Recovery Servcies Inc

  • Community/Behavioral Health Agency
  • Winston Salem, NC
  • NPI 1790807535

  Professional

  NPD (past)

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

{
    "created_epoch": "1457308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1699135475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "284 EXECUTIVE PARK DR STE 100",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280251833",
            "telephone_number": "704-939-1100",
            "fax_number": "704-939-1173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 HIGHLAND AVE UNIT 100",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271014181",
            "telephone_number": "336-607-8523",
            "fax_number": "336-773-0915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSS",
        "first_name": "SHAQUITA",
        "middle_name": "DANIELLE",
        "credential": "MS, LPCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-07",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A12146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Johnson Moses, RD, LDN
• Vedwattie Moses, CRNA
• James Bryan Mosier Jr., PA-C
• Tiffany Mosley
• Bradley L Moss
• Osman Mostafa
• Renee Motew, CRNA
• James Thomas Mothershed Jr., DPM
• Robb Ashley Mothershed, DPM
• Elisabeth Marie Motsinger, P.A.

• Professional Counselor in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.