Buny Moon Therapy, Pllcs

Primary specialty

Social WorkerTaxonomy code 104100000X

Legal business name

BUNY MOON THERAPY, PLLCS

Practice address

275 E South Temple Ste 350
Salt Lake City, UT 84111-1272

Phone

(512) 767-0685

NPI assigned

Feb 4, 2025

Organization subpart

No

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

Authorized official

Name

Ivy Rose Marsh, LCSWNPI 1427299932

Title

Owner

Phone

(512) 767-0685

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ivy Rose Marsh, LCSW

  • Clinical Social Worker
  • Eugene, OR
  • NPI 1427299932
  NPD Authorized official

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

{
    "created_epoch": "1738627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738627200000",
    "number": "1053125658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 N PINECREST CANYON RD",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841081853",
            "telephone_number": "512-767-0685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 E SOUTH TEMPLE STE 350",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841111272",
            "telephone_number": "512-767-0685"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "167 N Adams St",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974024203",
            "country_code": "US",
            "telephone_number": "512-767-0685",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BUNY MOON THERAPY, PLLCS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-04",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A",
        "authorized_official_last_name": "MARSH",
        "authorized_official_first_name": "IVY",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-767-0685",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelly Bunker, LCSW
• Erika Bunnell
• Thomas Bunnell, CSW
• Zachary Michael Bunnell, LCSW
• Douglas George Bunting, RPH
• Anthony Jace Burbidge, LMT
• Austin Morgan Burch, OTR/L
• Nancy Clare Burch, REGISTERED NURSE
• Shana L Burch
• Shayna Tova Purcell Burch, M.S.

• Social Worker in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; 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.