Active NPI
Gina Moon, LPC, NCC, LBS
- Professional Counselor
- Hunt Valley, MD
National Provider Identifier
1093198681
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC007144
- Practice address
- 201 International Cir
Suite 230
Hunt Valley, MD 21030-1304 - Phone
- (866) 287-2036
- NPI assigned
- Jul 1, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC007144 | PA | Primary |
| Behavior Analyst | 103K00000X | BH000392 | PA |
Addresses
Primary practice location
201 International Cir
Suite 230
Hunt Valley, MD 21030-1304
Mailing address
349 E High Acres Rd
Greensburg, PA 15601-6487
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC007144 | PA | MD | Professional Counselor |
| BH000392 | PA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490745600000",
"number": "1093198681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "349 E HIGH ACRES RD",
"city": "GREENSBURG",
"state": "PA",
"postal_code": "156016487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 INTERNATIONAL CIR",
"address_2": "SUITE 230",
"city": "HUNT VALLEY",
"state": "MD",
"postal_code": "210301304",
"telephone_number": "866-287-2036"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOON",
"first_name": "GINA",
"credential": "LPC, NCC, LBS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-01",
"last_updated": "2017-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC007144",
"primary": true
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "PA",
"license": "BH000392",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hunt Valley, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.