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

Ethan Moss

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1972336683

Ethan Moss is a Nurse Practitioner in Clermont, Florida. Qualified in 2024, 2 years ago. Practices with Family Life Counseling Center, a 13-clinician group, works from 5 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
2
Licensed in
FL
In the registry since
2024
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

210 N Highway 27 Ste 4
Clermont, FL 34711-2411
Phone: (352) 988-6673
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (4)

  • 1965 S Orange Blossom Trl, Apopka, FL 32703-7757 — (352) 708-6283
  • 100 S Kentucky Ave, Lakeland, FL 33801-5096 — (352) 708-6283
  • 858 S Duncan Dr, Tavares, FL 32778-4044 — (352) 708-6283
  • 9100 Conroy Windermere Rd, Windermere, FL 34786-8431 — (352) 708-6283

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 11034243 (FL)

Record details

NPI number1972336683
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 20, 2024
Last updated in NPPESAugust 28, 2024
Certification dateAugust 28, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Family Life Counseling Center — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Clermont