Organization Active NPI

Moontree Counseling

  • Community/Behavioral Health Agency
  • Vancouver, WA
National Provider Identifier
1013267251
Registry record updated Sep 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
LH60169232 Issued in WA
Legal business name
MOONTREE COUNSELING
Practice address
3305 Main St Ste 23
Vancouver, WA 98663-2234
Phone
(360) 949-2727
NPI assigned
Sep 14, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Troy D Willett, MS, LMHC
Title
Therapist
Phone
(360) 949-2727

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X LH60169232 WA Primary

Addresses

Primary practice location

3305 Main St Ste 23
Vancouver, WA 98663-2234

Mailing address

9208 NE Highway 99 Ste 107 #110
Vancouver, WA 98665-8986
Phone (360) 949-2727

National Provider Directory

National Provider Directory

Locations

3305 Main St
Ste 23
Vancouver, WA 98663
Phone (360) 949-2727

9208 NE Highway 99
Ste 107
Vancouver, WA 98665

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1347580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347580800000",
    "number": "1013267251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9208 NE HIGHWAY 99 STE 107 #110",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986658986",
            "telephone_number": "360-949-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3305 MAIN ST STE 23",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986632234",
            "telephone_number": "360-949-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOONTREE COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-14",
        "last_updated": "2012-09-14",
        "status": "A",
        "authorized_official_last_name": "WILLETT",
        "authorized_official_first_name": "TROY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "360-949-2727",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS, LMHC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WA",
            "license": "LH60169232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.