Active NPI
Kristopher Wesley Moebs, LPC
- Professional Counselor
- Perrysburg, OH
National Provider Identifier
1740012632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C.2406326
- Practice address
- 836 W South Boundary St Ste a
Perrysburg, OH 43551-5640 - Phone
- (419) 874-3201
- NPI assigned
- Aug 19, 2024
- 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 | C.2406326 | OH | Primary |
Addresses
Primary practice location
836 W South Boundary St Ste a
Perrysburg, OH 43551-5640
Mailing address
836 W South Boundary St Ste a
Perrysburg, OH 43551-5640
Phone (419) 874-3201
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 |
|---|---|---|---|
| C.2406326 | OH | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Person to Person Resources, Inc. | Professional | Current | Accepting new patients |
Locations
836 W South Boundary St
Ste A
Perrysburg, OH 43551
Phone (419) 874-3201
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724025600000",
"number": "1740012632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "836 W SOUTH BOUNDARY ST STE A",
"city": "PERRYSBURG",
"state": "OH",
"postal_code": "435515640",
"telephone_number": "419-874-3201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "836 W SOUTH BOUNDARY ST STE A",
"city": "PERRYSBURG",
"state": "OH",
"postal_code": "435515640",
"telephone_number": "419-874-3201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOEBS",
"first_name": "KRISTOPHER",
"middle_name": "WESLEY",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-08-19",
"last_updated": "2024-08-19",
"certification_date": "2024-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "C.2406326",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Perrysburg, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.