Individual provider Active NPI

Justin Mosling, MS LPC CSAC

  • Professional Counselor
  • Elm Grove, WI
National Provider Identifier
1891260535
Registry record updated Oct 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5566-125 Issued in WI
Practice address
13000 W Bluemound Rd # 300
Elm Grove, WI 53122-2650
Phone
(262) 785-9188
NPI assigned
Oct 9, 2018
Last updated
Oct 9, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 16233-132 WI
Professional Counselor 101YP2500X 5566-125 WI Primary

Addresses

Primary practice location

13000 W Bluemound Rd # 300
Elm Grove, WI 53122-2650

Mailing address

N52W14104 Aberdeen Dr
Menomonee Falls, WI 53051-6828
Phone (608) 397-4353

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
16233-132WIMDAddiction (Substance Use Disorder) Counselor
5566-125WIMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1539043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539043200000",
    "number": "1891260535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N52W14104 ABERDEEN DR",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530516828",
            "telephone_number": "608-397-4353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13000 W BLUEMOUND RD # 300",
            "city": "ELM GROVE",
            "state": "WI",
            "postal_code": "531222650",
            "telephone_number": "262-785-9188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSLING",
        "first_name": "JUSTIN",
        "credential": "MS LPC CSAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-09",
        "last_updated": "2018-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "16233-132",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "5566-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elm Grove, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2018; 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.