JAVANA J MOSS LPC
NPI 1275768202
Counselor - Professional in Lewisville, TX

Active since May 20, 2009PECOS EnrolledAccepts Medicare Assignment
105 KATHRYN DR BLDG 3, LEWISVILLE, TX 75067(800) 972-0643 Get Directions Write a Review

NPPES record last updated: April 9, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Javana J Moss Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAVANA J MOSS LPC (NPI 1275768202) is an individual professional provider in Lewisville, Texas, licensed in Texas (64728) and active in the NPI registry since May 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1275768202
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJAVANA J MOSSCredential: LPC
Location Address105 KATHRYN DR BLDG 3Lewisville, TX 75067-4216
Mailing Address290 Country Ridge Rd Unit 11Lewisville, TX 75067-4549 · (501) 240-6538
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateMay 20, 2009
Last NPPES UpdateApril 9, 2020
NPPES CertifiedApril 9, 2020
✔ NPI 1275768202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in TX · 64728
105 KATHRYN DR BLDG 3, Lewisville, TX 75067

Other Identifiers 3

Medicaid334793201TX
Other334793202TX · Medicaid Cshcn
Other847LPLTX · Bluc Cross Blue Shield

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Javana J Moss Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2567806987
PECOS Enrollment IDI20240213004547
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Javana Moss reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical
1738 WYNKOOP ST STE 303
Denver, CO 80202
  • Reassigned Medicare billing, Texas enrollment
  • 484 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Psychiatric/Mental Health)
105 KATHRYN DR BLDG 3
LEWISVILLE, TX 75067
Counselor (Addiction (Substance Use Disorder))
105 KATHRYN DR BLDG 3, SUITE D
LEWISVILLE, TX 75067

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Javana Moss's NPI number?

The NPI number for Javana Moss is 1275768202. It was assigned to this individual provider in the NPPES registry on May 20, 2009.

Where is Javana Moss located?

Javana Moss practices at 105 Kathryn Dr Bldg 3, Lewisville, TX 75067. The listed phone number is (800) 972-0643.

What is Javana Moss's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Javana Moss enrolled in Medicare?

Yes. Javana Moss is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Javana Moss's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Javana Moss reassigns Medicare benefits to Sondermind Provider Network LLC (Denver, CO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Javana Moss's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Javana Moss accept?

Health plans from Blue Cross and Blue Shield of Texas, Cigna Healthcare, Imperial Insurance Companies, Inc., Moda Health Plan, Inc. and Molina Healthcare and 1 other insurer list Javana Moss as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Javana Moss was last updated on April 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.