Organization Active NPI

Moon Counseling

  • Mental Health Counselor
  • Layton, UT
National Provider Identifier
1275159824
Registry record updated Jun 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MOON COUNSELING
Practice address
746 S Main St
Layton, UT 84041-4229
Phone
(801) 702-1306
NPI assigned
Jun 19, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2020

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

Authorized official

Name
Marisa Anne Moon, LCSWNPI 1083958631
Title
Therapist/Counselor
Phone
(801) 702-1306

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 CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

746 S Main St
Layton, UT 84041-4229

Mailing address

502 S 800 E
Clearfield, UT 84015-1218

Other names 1

  • Moon Counseling, LLC Former legal business name

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL https://divineawakeningcenter.com Direct
Other URL https://divineawakeningcenter.com Direct

National Provider Directory

National Provider Directory

Locations

746 S Main St
Layton, UT 84041
Phone (602) 697-5808

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": "1592524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592524800000",
    "number": "1275159824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 S 800 E",
            "city": "CLEARFIELD",
            "state": "UT",
            "postal_code": "840151218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "746 S MAIN ST",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840414229",
            "telephone_number": "801-702-1306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOON COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-19",
        "last_updated": "2020-06-19",
        "certification_date": "2020-06-19",
        "status": "A",
        "authorized_official_last_name": "MOON",
        "authorized_official_first_name": "MARISA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "THERAPIST/COUNSELOR",
        "authorized_official_telephone_number": "801-702-1306",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://divineawakeningcenter.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "746 S Main St",
            "city": "Layton",
            "state": "UT",
            "country_code": "US",
            "postal_code": "840414229",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://divineawakeningcenter.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "746 S Main St",
            "city": "Layton",
            "state": "UT",
            "country_code": "US",
            "postal_code": "840414229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Moon Counseling, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Layton, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2020; 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.