NPIMap

Organization Active NPI

Helping Moon Counseling, P.a

  • Mental Health Counselor
  • Boca Raton, FL
National Provider Identifier
1083087688
Registry record updated Mar 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
HELPING MOON COUNSELING, P.A
Practice address
6919 SW 18TH St Ste 201
Boca Raton, FL 33433-7010
Phone
(561) 571-1557
Fax
(561) 634-3536
NPI assigned
Nov 4, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2022

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

Authorized official

Name
Luna L Medina-Wolf, LMHC, CRCNPI 1972976595
Title
Owner
Phone
(954) 309-5353

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

6919 SW 18TH St Ste 201
Boca Raton, FL 33433-7010

Mailing address

6919 SW 18TH St Ste 201
Boca Raton, FL 33433-7010
Phone (561) 571-1557

Other practice location 1

2900 N University Dr
Coral Springs, FL 33065-5083
Phone (561) 571-1557

Other identifiers 1

IdentifierTypeStateIssuer
1020131-00MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200402002877 FL Part B Supplier - Clinic/Group Practice 3072942697 Receives reassigned benefits from 3 practitioners
Practice locations: Boca Raton, FL; Coral Springs, FL

National Provider Directory

National Provider Directory

Locations

6919 SW 18th St
Ste 201
Boca Raton, FL 33433
Phone (561) 203-5930

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1446595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647907200000",
    "number": "1083087688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6919 SW 18TH ST STE 201",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334337010",
            "telephone_number": "561-571-1557",
            "fax_number": "561-634-3536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6919 SW 18TH ST STE 201",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334337010",
            "telephone_number": "561-571-1557",
            "fax_number": "561-634-3536"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2900 N University Dr",
            "address_purpose": "LOCATION",
            "city": "Coral Springs",
            "state": "FL",
            "postal_code": "330655083",
            "country_code": "US",
            "telephone_number": "561-571-1557",
            "fax_number": "561-634-3537",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HELPING MOON COUNSELING, P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-04",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A",
        "authorized_official_last_name": "MEDINA-WOLF",
        "authorized_official_first_name": "LUNA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-309-5353",
        "authorized_official_credential": "LMHC, CRC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1020131-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.