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JEREMEY MOSS
NPI 1699409078
Counselor - Mental Health in Centralia, IL

Active since July 12, 2022
904 M L KING DR, CENTRALIA, IL 62801(618) 533-1391 Get Directions Write a Review

NPPES record last updated: July 12, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jeremey Moss NPPES

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

JEREMEY MOSS (NPI 1699409078) is an individual mental health provider in Centralia, Illinois and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1699409078
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJEREMEY MOSS
Location Address904 M L KING DRCentralia, IL 62801-3058
Mailing Address904 M L King DrCentralia, IL 62801-3058 · (618) 533-1391
Phone(618) 533-1391
Sole ProprietorNo
Enumeration DateJuly 12, 2022
NPPES CertifiedJuly 12, 2022
✔ NPI 1699409078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
904 M L KING DR, Centralia, IL 62801
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Other Identifiers 1

Medicaid370915481007IL

Other Providers at the Same Location NPPES 20

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

ANDREA SLATER
Counselor
904 M L KING DR
CENTRALIA, IL 62801
Marion County (618) 533-1391
STEFFANY SLININGER
Counselor (Mental Health)
904 M L KING DR
CENTRALIA, IL 62801
Marion County (618) 533-1391
ASPIN WALTA
Counselor (Mental Health)
904 M L KING DR
CENTRALIA, IL 62801
Marion County (618) 533-1391
MRS. CARLIE MICHELLE KASTEN
Counselor (Mental Health)
904 M L KING DR
CENTRALIA, IL 62801
Marion County (618) 533-1391
XZAVIER DENTON
Counselor
904 M L KING DR
CENTRALIA, IL 62801
Marion County (618) 533-1391
BROOKE DUNN
Counselor
904 M L KING DR
CENTRALIA, IL 62801
Marion County (618) 533-1391
DAKOTA HUNTER
Counselor
904 M L KING DR
CENTRALIA, IL 62801
Marion County (618) 533-1391
MALLORY OWENS MSW
Counselor
904 M L KING DR
CENTRALIA, IL 62801
Marion County (618) 533-1391

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 Jeremey Moss's NPI number?

The NPI number for Jeremey Moss is 1699409078. It was assigned to this individual provider in the NPPES registry on July 12, 2022.

Where is Jeremey Moss located?

Jeremey Moss practices at 904 M L King Dr, Centralia, IL 62801. The listed phone number is (618) 533-1391.

What is Jeremey Moss's specialty?

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

When was this NPI record last updated?

The NPPES record for Jeremey Moss was last updated on July 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.