Active NPI
Moonrise Counseling LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Toledo, OH
National Provider Identifier
1215877683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- MOONRISE COUNSELING LLC
- Practice address
- 4430 N Holland Sylvania Rd Apt 3113
Toledo, OH 43623-3549 - Phone
- (419) 704-1000
- NPI assigned
- Mar 28, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kaitlyn Bachmann, MSW, LISW-S
- Title
- Clinical Therapist and Owner
- Phone
- (419) 704-1000
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
4430 N Holland Sylvania Rd Apt 3113
Toledo, OH 43623-3549
Mailing address
4430 N Holland Sylvania Rd Apt 3113
Toledo, OH 43623-3549
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Toledo, OH
- NPI 1255976585
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1774656000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1774656000000",
"number": "1215877683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4430 N HOLLAND SYLVANIA RD APT 3113",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436233549"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4430 N HOLLAND SYLVANIA RD APT 3113",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436233549",
"telephone_number": "419-704-1000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOONRISE COUNSELING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-03-28",
"last_updated": "2026-03-28",
"certification_date": "2026-03-28",
"status": "A",
"authorized_official_last_name": "BACHMANN",
"authorized_official_first_name": "KAITLYN",
"authorized_official_title_or_position": "CLINICAL THERAPIST AND OWNER",
"authorized_official_telephone_number": "419-704-1000",
"authorized_official_credential": "MSW, LISW-S"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.