Individual provider Active NPI

Julian Moon, CMHC, LCPC

  • Mental Health Counselor
  • Orem, UT
National Provider Identifier
1265996300
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
11770839-6004 Issued in UT
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

Updated by the provider on Apr 6, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250226001488 CO Practitioner - Mental Health Counselor 9133649700 Reassigns benefits to 1 organization

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
Family Care Center LLCGroup PAC ID 5991064420, 703 clinicians

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

LicenseStateTypeSpecialty
11770839-6004UTMDMental Health Counselor
0021918COMDProfessional Counselor
1671133IDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care Center, LLC CurrentSince Feb 24, 2025 Accepting new patients
Meadowbrook Counseling of Utah LLC Mental Health CurrentSince Jan 5, 2025 Accepting new patients
Family Care Center, LLC Mental Health CurrentSince Feb 24, 2025 Accepting new patients
Volunteers of America Past Accepting new patients
Meadowbrook Counseling of Idaho, LLC Mental Health PastSince Feb 1, 2025 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.

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

Verify at the official NPI Registry.