MRS. KRYSTIE MOSS – Mental Health Counselor, NPI 1023479789

MRS. KRYSTIE MOSS is a healthcare provider. based in Winter springs, Florida. specializing in MENTAL HEALTH COUNSELOR. They hold a License No. MH 13639 (FL). The NPI Number for MRS. KRYSTIE MOSS is 1023479789

Main info

Female
Sole Proprietor
15 Years Of Experience
Accepts Medicare Assignment
Name
MRS. KRYSTIE MOSS
NPI
1023479789
Phone
(540) 850-9978
Address
741 TIMBERWILDE AVE
Enumeration Date
9 March 2016
Last Update Date
8 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3529886673
Graduation Year
2011 (15 years ago)
PAC ID
8022461706
Group Practice PAC ID
0648623835
Professional Enrollment ID
I20240130000110
Address ID
FL347112411CL210XX27XX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:10State licenses:1Digital endpointsOther names

3,018 MENTAL HEALTH COUNSELOR in FL

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Provider Addresses for MRS. KRYSTIE MOSS

  • 741, Timberwilde Avenue, Winter Springs, Seminole County, Florida, 32708, United States

    WINTER SPRINGS, FL 327086308

    Phone: (540) 850-9978

    Type: Location

  • 741 Timberwilde Ave

    Winter Springs, FL 327086308

    Phone: (540) 850-9978

    Type: Location

  • 9100 Conroy Windermere Rd

    Windermere, FL 347868431

    Phone: (352) 708-6283

    Type: Location

  • 858 S Duncan Dr

    Tavares, FL 327784044

    Phone: (352) 708-6283

    Type: Location

  • 1965 S Orange Blossom Trl

    Apopka, FL 327037757

    Phone: (352) 708-6283

    Type: Location

  • 100 S Kentucky Ave

    Lakeland, FL 338015096

    Phone: (352) 708-6283

    Type: Location

  • 210 N HIGHWAY 27 STE 4

    CLERMONT, FL 347112411

    Phone: (352) 708-6283

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-01-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240130000110IMental Health CounselorFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32708)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0648623835View full group profile
NameSpecialtyState
Mental Health CounselorFL
Mental Health CounselorFL
Mental Health CounselorFL
Mental Health CounselorFL
Marriage And Family TherapistFL
Clinical Social WorkerFL
Clinical Social WorkerFL
Marriage And Family TherapistFL
Mental Health CounselorFL
Mental Health CounselorGA

Reviews

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Frequently asked questions

Can I verify MRS. KRYSTIE MOSS with an NPI only?
You can start verification with NPI 1023479789 for MRS. KRYSTIE MOSS, then check state licensing separately.
Does the file indicate MRS. KRYSTIE MOSS is practicing under active NPI?
Directory data currently reports MRS. KRYSTIE MOSS as active.
What is MRS. KRYSTIE MOSS best known for clinically?
Directory data describes MRS. KRYSTIE MOSS with Mental Health Counselor. Clinical services aligned with this taxonomy classification.
What address line appears for MRS. KRYSTIE MOSS?
MRS. KRYSTIE MOSS's geographic hint is Winter Springs, Florida in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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