Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jeremey Moss

Individual provider Mental Health Counselor · NPI 1699409078

Jeremey Moss is a Mental Health Counselor in Centralia, Illinois. Licensed in Illinois. Registered with an NPI since 2022.

Licensed in
IL
In the registry since
2022

Practice location Address checks out

904 M L King Dr
Centralia, IL 62801-3058
Phone: (618) 533-1391
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X (IL)

Record details

NPI number1699409078
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 12, 2022
Last updated in NPPESJuly 12, 2022
Certification dateJuly 12, 2022
Mailing address904 M L King Dr, Centralia, IL 62801-3058

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