Jessica Noell Mouzon

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A16006 Issued in NC

Practice address

609 S New Hope Rd Ste 102
Gastonia, NC 28054-4825

Phone

(704) 208-1865

Fax

(704) 208-1865

NPI assigned

Dec 3, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Carolinas Medical Center

  dba Atrium Health Levine Children's Gastroenterology

  • Obstetrics & Gynecology Physician
  • Charlotte, NC
  • NPI 1275774333
  Medicare reassignment NPD
• Carolinas Medical Center

  dba CMC Psychiatry and Behavioral Health

  • Child & Adolescent Psychiatry Physician
  • Charlotte, NC
  • NPI 1356689996
  NPD
• Carolinas Medical Center

  dba Atrium Health Pharmacy Kenilworth

  • Community/Retail Pharmacy
  • Charlotte, NC
  • NPI 1982710554
  NPD
• New Hope Counseling and Wellness LLC

  • Professional Counselor
  • Gastonia, NC
  • NPI 1245607514
  NPD

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

{
    "created_epoch": "1354492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641427200000",
    "number": "1790020766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 S NEW HOPE RD STE 102",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280544825",
            "telephone_number": "704-208-1865",
            "fax_number": "704-208-1865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 S NEW HOPE RD STE 102",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280544825",
            "telephone_number": "704-208-1865",
            "fax_number": "704-208-1865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUZON",
        "first_name": "JESSICA",
        "middle_name": "NOELL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-03",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A16006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann Hardy Moss, LPC
• Anna Watkins Moss, DMD
• Sydney Moss
• Zechariah David Moss
• Amanda Leigh Mosteller, AGDNP-C
• MRI Specialists of the Carolinas, LLC
• Taylor Elizabeth Mucci
• Lindsay Mueller
• Kamel Muhyeddin, DPM
• Terry Morris Mull, LPN

• Mental Health Counselor in Gastonia, NC
• Providers in Gastonia, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2022; 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.

Verify at the official NPI Registry.