NPIMap

Organization Active NPI

Little Moon LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Little Silver, NJ
National Provider Identifier
1124601299
Registry record updated May 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
LITTLE MOON LLC
Practice address
200 White Rd Ste 208
Little Silver, NJ 07739-1162
Phone
(848) 248-7282
Fax
(732) 842-1794
NPI assigned
May 5, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2021

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

Authorized official

Name
Farah N Skow, LPCNPI 1760819932
Title
Practice Owner
Phone
(848) 248-7282

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

200 White Rd Ste 208
Little Silver, NJ 07739-1162

Mailing address

200 White Rd Ste 208
Little Silver, NJ 07739-1162
Phone (848) 248-7282

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1620172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620259200000",
    "number": "1124601299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 WHITE RD STE 208",
            "city": "LITTLE SILVER",
            "state": "NJ",
            "postal_code": "077391162",
            "telephone_number": "848-248-7282",
            "fax_number": "732-842-1794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 WHITE RD STE 208",
            "city": "LITTLE SILVER",
            "state": "NJ",
            "postal_code": "077391162",
            "telephone_number": "848-248-7282",
            "fax_number": "732-842-1794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE MOON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-05",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A",
        "authorized_official_last_name": "SKOW",
        "authorized_official_first_name": "FARAH",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "848-248-7282",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Silver, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2021; 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.