Crescent Moon Awakening

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

CRESCENT MOON AWAKENING

Practice address

307 James Cir
Russellville, AR 72801-5829

Phone

(479) 880-3682

NPI assigned

Jan 7, 2026

Organization subpart

No

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

Authorized official

Name

Hazel Moon, MS LPCNPI 1083186431

Title

Owner

Phone

(479) 880-3682

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hazel Moon, LPC

  • Professional Counselor
  • Russellville, AR
  • NPI 1083186431

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1767744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767744000000",
    "number": "1316804891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 JAMES CIR",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728015829",
            "telephone_number": "479-880-3682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 JAMES CIR",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728015829",
            "telephone_number": "479-880-3682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESCENT MOON AWAKENING",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-07",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A",
        "authorized_official_last_name": "MOON",
        "authorized_official_first_name": "HAZEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-880-3682",
        "authorized_official_credential": "MS LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Leigh Cox
• Kashlee Cox
• Payten Cox
• Mallory Cranor, APRN
• Brandon Crawford, RECOVERY ASSISTANT
• Catherine Crews, PH.D.
• Mackenzie Criner, LAC
• Aneta Criswell, CASE MANAGER PARAPRO
• Amy Marie Crites
• Allison Biggers Croom

• Mental Health Counselor in Russellville, AR
• Providers in Russellville, AR by specialty
• Mental Health Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.