Individual provider Active NPI

Steven Loshun Moon, LPC

  • Mental Health Counselor
  • Spring, TX
National Provider Identifier
1245903723
Registry record updated Apr 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
86535 Issued in TX
Practice address
24624 Interstate 45 N Ste 200
Spring, TX 77386-4084
Phone
(832) 910-9817
NPI assigned
Jul 29, 2021
Last updated
Apr 1, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 86535 TX Primary

Addresses

Primary practice location

24624 Interstate 45 N Ste 200
Spring, TX 77386-4084

Mailing address

30711 Shady Trace Dr
Spring, TX 77386-3878
Phone (254) 383-8499

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
86535TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Arise Therapy PLLC CurrentSince Apr 16, 2023 Accepting new patients
Refuge Counseling Center LLC Mental Health PastSince Aug 28, 2022 Accepting new patients

Locations

24624 Interstate 45 N
Ste 200
The Woodlands, TX 77386
Phone (832) 690-2400

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1627516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680307200000",
    "number": "1245903723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30711 SHADY TRACE DR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773863878",
            "telephone_number": "254-383-8499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24624 INTERSTATE 45 N STE 200",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773864084",
            "telephone_number": "832-910-9817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOON",
        "first_name": "STEVEN",
        "middle_name": "LOSHUN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-29",
        "last_updated": "2023-04-01",
        "certification_date": "2023-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "86535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2023; 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.