Individual provider Active NPI

Chevelle Moss-Savage, LPC

  • Professional Counselor
  • New London, CT
National Provider Identifier
1902345390
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701006991 Issued in VA
Practice address
300 State St Ste 422a
New London, CT 06320-6159
Phone
(804) 621-2603
NPI assigned
Feb 17, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 003438 CT
Professional Counselor 101YP2500X 0701006991 VA Primary

Addresses

Primary practice location

300 State St Ste 422a
New London, CT 06320-6159

Mailing address

300 State St Ste 422a
New London, CT 06320-6159
Phone (804) 621-2603

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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

Enrollment IDStateProvider typePAC IDDetails
I20250320003143 CT Practitioner - Mental Health Counselor 1153843990

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
003438CTMDProfessional Counselor
0701006991VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Heal-Helping Everyone Accept and Adapt to Life CurrentSince Mar 20, 2025 Accepting new patients
Urologic Associates, PC PastSince Mar 10, 2025 Accepting new patients

Locations

300 State St
Ste 422A
New London, CT 06320
Phone (804) 621-2603

Organizations & group practices 2

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": "1487289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1902345390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 STATE ST STE 422A",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063206159",
            "telephone_number": "804-621-2603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 STATE ST STE 422A",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063206159",
            "telephone_number": "804-621-2603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSS-SAVAGE",
        "first_name": "CHEVELLE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-17",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "003438",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701006991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New London, CT

Sources for this page

Verify at the official NPI Registry.