Individual provider Active NPI

Amy Moses, LICSW

  • Professional Counselor
  • Wheeling, WV
National Provider Identifier
1972816213
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
DP00943214 Issued in WV
Practice address
100 1/2 14TH St
Wheeling, WV 26003-3407
Phone
(304) 830-7546
Fax
(304) 404-4289
NPI assigned
Jul 15, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X DP00943214 WV Primary

Addresses

Primary practice location

100 1/2 14TH St
Wheeling, WV 26003-3407

Mailing address

100 1/2 14TH St
Wheeling, WV 26003-3407
Phone (304) 830-7546

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20210507001295 WV Practitioner - Clinical Social Worker 4183033905 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DP00943214WVMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Professional Counseling Mental Health CurrentSince May 1, 2021 Accepting new patients
The Journey Forward - Therapy Services, PLLC Mental Health CurrentSince May 19, 2024 Accepting new patients

Locations

1025 Main St
Ste 502
Wheeling, WV 26003
Phone (304) 233-2020

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": "1279152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1972816213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 1/2 14TH ST",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260033407",
            "telephone_number": "304-830-7546",
            "fax_number": "304-404-4289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 1/2 14TH ST",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260033407",
            "telephone_number": "304-830-7546",
            "fax_number": "304-404-4289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSES",
        "first_name": "AMY",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-15",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WV",
            "license": "DP00943214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheeling, WV

Sources for this page

Verify at the official NPI Registry.