Organization Active NPI

Moonrise Counseling LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Toledo, OH
National Provider Identifier
1215877683
Registry record updated Mar 28, 2026
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
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

Updated by the provider on Mar 28, 2026

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

Authorized official

Name
Kaitlyn Bachmann, MSW, LISW-SNPI 1255976585
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)CodeLicenseStatePrimary
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 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": "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.

Verify at the official NPI Registry.