P Praxis·MD
● Active Type 1 · Individual

Nan Moss, LCPC, LPC

Counselor·Fruitland, ID· NPI 1215060538 · Enumerated 2007 · 19 years on NPI
Moss is 1 of 9 counselor providers in Fruitland and 1 of 1998 in Idaho.
NPI age
19 years
Enumerated 2007-03-14
Primary specialty
Counselor
Plus 1 subspecialty
Licensed in
ID, OR
2 states
Status
Active
No deactivations on record
Last NPPES update
2008-07-11
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 1998 active counselor providers in Idaho.

NPI age
19 years
↑ 12 yr above median (7 yr)
State licenses
2 states
Top 95% — 4% of peers are multi-state
Subspecialties
0
21% of peers hold subspecialties

NPI lifetime · 2007 → 2026

2007-03Enumerated in NPPES
2007 2026

Where they practice

Practice location
1509 N Whitley Dr Ste 11
Fruitland, ID 836192260
📞 5412123151fax 2084521232
Mailing address
Po Box 971
Ontario, OR 979140971
📞 5412123151fax 2084521232

Specialties

  • Counselor Primary
    Definition to come...
    ID license #LCPC-120OR license #C1279 taxonomy 101YM0800X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

Recently enumerated nearby: 1 new counselor provider has been added in Fruitland in the last 180 days. See all →
Provyx · Custom healthcare lists

Need all 1998 Counselor providers in Idaho?

Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.

Request a quote →

How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

Related