Individual provider Active NPI

Daniel Mosner, CAC

  • Addiction (Substance Use Disorder) Counselor
  • Sandy Hook, CT
National Provider Identifier
1891281267
Registry record updated Jul 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
5296 Issued in CT
Practice address
107 Church Hill Rd
Sandy Hook, CT 06482-1194
Phone
(203) 910-0614
Fax
(203) 426-8947
NPI assigned
Jul 9, 2018
Last updated
Jul 9, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 5296 CT Primary

Addresses

Primary practice location

107 Church Hill Rd
Sandy Hook, CT 06482-1194

Mailing address

13 Lantern Dr
Newtown, CT 06470-2724
Phone (203) 910-0614

Other identifiers 1

IdentifierTypeStateIssuer
5295OtherCTCT CERTIFICATION BOARD

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

LicenseStateTypeSpecialty
5296CTMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1531094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531094400000",
    "number": "1891281267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 LANTERN DR",
            "city": "NEWTOWN",
            "state": "CT",
            "postal_code": "064702724",
            "telephone_number": "203-910-0614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 CHURCH HILL RD",
            "city": "SANDY HOOK",
            "state": "CT",
            "postal_code": "064821194",
            "telephone_number": "203-910-0614",
            "fax_number": "203-426-8947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSNER",
        "first_name": "DANIEL",
        "name_prefix": "Mr.",
        "credential": "CAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-09",
        "last_updated": "2018-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CT",
            "license": "5296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CT CERTIFICATION BOARD",
            "identifier": "5295",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy Hook, CT

Sources for this page

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