MARISSA RENEE MOSS
NPI 1295317782
Counselor - Mental Health in Denver, CO

Active since April 23, 2021PECOS Enrolled
30 N SHERMAN ST APT 12, DENVER, CO 80203(631) 741-6102 Get Directions Write a Review

NPPES record last updated: September 18, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 18, 2024, Apr 23, 2021 (2 updates tracked since 2021).

About Marissa Renee Moss NPPES

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

MARISSA RENEE MOSS (NPI 1295317782) is an individual mental health provider in Denver, Colorado, licensed in Colorado (LPC.0021034) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Lafayette.

NPPES Registry Identity

NPI1295317782
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMARISSA RENEE MOSS
Location Address30 N SHERMAN ST APT 12Denver, CO 80203-4819
Mailing Address30 N Sherman St Apt 12Denver, CO 80203-4819 · (631) 741-6102
Sole ProprietorNo
Enumeration DateApril 23, 2021
Last NPPES UpdateSeptember 18, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2024
✔ NPI 1295317782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in CO · LPC.0021034
30 N SHERMAN ST APT 12, Denver, CO 80203

Secondary Practice Location 1

Location 11455 Dixon AveLafayette, CO 80026-8879 · Phone (631) 741-6102

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marissa Renee Moss is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Marissa 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, Colorado enrollment
  • 940 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.

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 Marissa Moss's NPI number?

The NPI number for Marissa Moss is 1295317782. It was assigned to this individual provider in the NPPES registry on April 23, 2021.

Where is Marissa Moss located?

Marissa Moss practices at 30 N Sherman St Apt 12, Denver, CO 80203. The listed phone number is (631) 741-6102.

What is Marissa Moss's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Marissa Moss enrolled in Medicare?

Yes. Marissa Moss is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Marissa Moss's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marissa 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 Marissa Moss's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Marissa Moss was last updated on September 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.