Summer Moon, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC014910 Issued in GA

Practice address

403 Ridley Ave
Lagrange, GA 30240-2231

Phone

(706) 756-1970

NPI assigned

Dec 2, 2025

Last updated

Oct 2, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Veal Group, LLCGroup PAC ID 2264806587, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Veal Group, LLC

  • Mental Health Counselor
  • Lagrange, GA
  • NPI 1073081220

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Eugene Wellness LLC

  • Mental Health Counselor
  • West Point, GA
  • NPI 1669386827
  NPD (past) Authorized official
• Lagrange Clinic of Chiropractic Incorporated

  • Chiropractor
  • Lagrange, GA
  • NPI 1346452596

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1764633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790899200000",
    "number": "1144182650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 CRESTVIEW RD",
            "city": "WEST POINT",
            "state": "GA",
            "postal_code": "318335221",
            "telephone_number": "706-585-0204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 RIDLEY AVE",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302402231",
            "telephone_number": "706-756-1970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOON",
        "first_name": "SUMMER",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-12-02",
        "last_updated": "2026-10-02",
        "certification_date": "2026-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC014910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Duncan Leslie Moffitt, P.A.
• Thesselon Warren Monderson, MD
• Paula Monk, RPH
• Dennis Tyrone Montgomery, RPH
• Angela Montondo, LPC
• Kelly Mooney, ATC/L
• Kristen Kosola Moore
• Timothy Eugene Moore, PT
• Kelly Dianne Morgan, NP-C
• Tommy John Morgan, M.D.

• Professional Counselor in Lagrange, GA
• Providers in Lagrange, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.