Active NPI
Julian Moon, CMHC, LCPC
- Mental Health Counselor
- Orem, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 11770839-6004
- Practice address
- 1433 N 1200 W
Orem, UT 84057-2449 - Phone
- (801) 655-5450
- Fax
- (385) 225-9327
- NPI assigned
- Jan 23, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 11770839-6004 | UT | Primary |
| Professional Counselor | 101YP2500X | 0021918 | CO | |
| Professional Counselor | 101YP2500X | 1671133 | ID |
Addresses
Primary practice location
1433 N 1200 W
Orem, UT 84057-2449
Mailing address
447 W Bearcat Dr
South Salt Lake, UT 84115-2519
Phone (801) 355-2846
Other practice location 1
661 S Woodruff Ave
Idaho Falls, ID 83401-5596
Phone (801) 655-5450
Other practice location 2
447 W Bearcat Dr
Salt Lake City, UT 84115-2519
Phone (801) 355-2846 ext. 80135
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2860 S Circle Dr
Suite 109
Colorado Springs, CO 80906-4195
Phone (719) 540-2100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11770839-6004 | UT | MD | Mental Health Counselor |
| 0021918 | CO | MD | Professional Counselor |
| 1671133 | ID | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Care Center, LLC | Current | Accepting new patients | |
| Meadowbrook Counseling of Utah LLC | Mental Health | Current | Accepting new patients |
| Family Care Center, LLC | Mental Health | Current | Accepting new patients |
| Volunteers of America | Past | Accepting new patients | |
| Meadowbrook Counseling of Idaho, LLC | Mental Health | Past | Accepting new patients |
Locations
2860 S Circle Dr
Ste 109
Colorado Springs, CO 80906
Phone 71954021004002
2860 S Circle Dr
Fl 4
Colorado Springs, CO 80906
Phone (719) 540-2146
1433 N 1200 W
Orem, UT 84057
Phone (801) 210-1432
Networks
- UT PPO
- UT PPO D-SNP
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Colorado Springs, CO
- NPI 1790141984
-
- Mental Health Counselor
- Orem, UT
- NPI 1225619737
-
- Community/Behavioral Health Agency
- Salt Lake City, UT
- NPI 1598192338
-
- Clinical Social Worker
- Idaho Falls, ID
- NPI 1023889839
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775433600000",
"number": "1265996300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "447 W BEARCAT DR",
"city": "SOUTH SALT LAKE",
"state": "UT",
"postal_code": "841152519",
"telephone_number": "801-355-2846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1433 N 1200 W",
"city": "OREM",
"state": "UT",
"postal_code": "840572449",
"telephone_number": "801-655-5450",
"fax_number": "385-225-9327"
}
],
"practiceLocations": [
{
"address_1": "661 S Woodruff Ave",
"address_purpose": "LOCATION",
"city": "Idaho Falls",
"state": "ID",
"postal_code": "834015596",
"country_code": "US",
"telephone_number": "801-655-5450",
"fax_number": "385-225-9327",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "447 W Bearcat Dr",
"address_purpose": "LOCATION",
"city": "Salt Lake City",
"state": "UT",
"postal_code": "841152519",
"country_code": "US",
"telephone_number": "801-355-2846 x80135",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOON",
"first_name": "JULIAN",
"credential": "CMHC, LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-23",
"last_updated": "2026-04-06",
"certification_date": "2026-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "UT",
"license": "11770839-6004",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "0021918",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ID",
"license": "1671133",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orem, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.