Active NPI
Stefanie Dawn Moss
- Counselor
- Berea, OH
National Provider Identifier
1790272953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 343 W Bagley Rd
Berea, OH 44017-1370 - Phone
- (216) 373-9244
- NPI assigned
- Apr 13, 2018
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | OH | ||
| Counselor | 101Y00000X | OH | Primary |
Addresses
Primary practice location
343 W Bagley Rd
Berea, OH 44017-1370
Mailing address
2000 Noble Dr
Wooster, OH 44691-5353
Phone (330) 264-3232
Other practice location 1
1751 E Long St
Columbus, OH 43203-2045
Phone (614) 253-8050
Other practice location 2
3830 Charbonnett Ct
Columbus, OH 43232-4913
Phone (614) 625-4232
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023454691 | Medicaid | OH |
Other names 1
- Stefanie Dawn Moss
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787702400000",
"number": "1790272953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 NOBLE DR",
"city": "WOOSTER",
"state": "OH",
"postal_code": "446915353",
"telephone_number": "330-264-3232",
"fax_number": "330-264-3879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "343 W BAGLEY RD",
"city": "BEREA",
"state": "OH",
"postal_code": "440171370",
"telephone_number": "216-373-9244"
}
],
"practiceLocations": [
{
"address_1": "1751 E Long St",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432032045",
"country_code": "US",
"telephone_number": "614-253-8050",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3830 Charbonnett Ct",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432324913",
"country_code": "US",
"telephone_number": "614-625-4232",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOSS",
"first_name": "STEFANIE",
"middle_name": "DAWN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-13",
"last_updated": "2026-08-26",
"certification_date": "2026-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "OH",
"license": null,
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OH",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1023454691",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "STEFANIE",
"last_name": "MOSS",
"middle_name": "DAWN",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Berea, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.