Active NPI
Philip Mosso, PEER SPECIALIST
- Addiction (Substance Use Disorder) Counselor
- Largo, FL
National Provider Identifier
1912722018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 11132 132ND Ave
Largo, FL 33778-1930 - Phone
- (727) 455-0247
- NPI assigned
- Nov 22, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary |
Addresses
Primary practice location
11132 132ND Ave
Largo, FL 33778-1930
Mailing address
11132 132ND Ave
Largo, FL 33778-1930
Phone (727) 455-0247
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": "1732233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732233600000",
"number": "1912722018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11132 132ND AVE",
"city": "LARGO",
"state": "FL",
"postal_code": "337781930",
"telephone_number": "727-455-0247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11132 132ND AVE",
"city": "LARGO",
"state": "FL",
"postal_code": "337781930",
"telephone_number": "727-455-0247"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSSO",
"first_name": "PHILIP",
"credential": "PEER SPECIALIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-11-22",
"last_updated": "2024-11-22",
"certification_date": "2024-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Largo, FL
- Morton Plant Health Services Inc
- Morton Plant Mease Health Services Inc
- Morton Plant Mease Health Services Inc
- Jeffrey Marc Moscow, D.C.
- Bertishia Lashanti Mosley, CNA
- Motion Medical Group, LLC
- Jordan Amber Mott, OTR
- Mount Thielsen Inpatient Services LLC
- Mount Thielsen Inpatient Services LLC
- Mary Moussa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.