NPIMap

Organization Active NPI

Moonstone Counseling PLLC

  • Clinical Social Worker
  • Austin, TX
National Provider Identifier
1124655675
Registry record updated Sep 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MOONSTONE COUNSELING PLLC
Practice address
8500 N Mopac Expy Ste 601
Austin, TX 78759-8347
Phone
(512) 270-0272
NPI assigned
Mar 25, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2021

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

Authorized official

Name
Grace Ann Gould, LCSW
Title
Co-President
Phone
(512) 270-0272

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

8500 N Mopac Expy Ste 601
Austin, TX 78759-8347

Mailing address

8500 N Mopac Expy Ste 601
Austin, TX 78759-8347
Phone (512) 270-0272

Other practice location 1

1900 Teakwood Dr
Austin, TX 78757-7827
Phone (512) 270-0272

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200917002266 TX Part B Supplier - Clinic/Group Practice 6901224245 Receives reassigned benefits from 23 practitioners
Practice locations: Austin, TX; West Lake Hills, TX

National Provider Directory

National Provider Directory

Locations

8500 N Mopac Expy
Ste 601
Austin, TX 78759
Phone (512) 270-0272

303 Camp Craft Rd
Ste 300
West Lake Hills, TX 78746
Phone (512) 270-0272

Practitioners & affiliated clinicians

Practitioners 27

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

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1585094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632441600000",
    "number": "1124655675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8500 N MOPAC EXPY STE 601",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598347",
            "telephone_number": "512-270-0272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 N MOPAC EXPY STE 601",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598347",
            "telephone_number": "512-270-0272"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 Teakwood Dr",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787577827",
            "country_code": "US",
            "telephone_number": "512-270-0272",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MOONSTONE COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-25",
        "last_updated": "2021-09-24",
        "certification_date": "2021-09-24",
        "status": "A",
        "authorized_official_last_name": "GOULD",
        "authorized_official_first_name": "GRACE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CO-PRESIDENT",
        "authorized_official_telephone_number": "512-270-0272",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2021; 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.