Ruby Moon, EDS, NCSP, LMHCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MC61324957 Issued in WA

Practice address

7 S Howard St Ste 216
Spokane, WA 99201-3816

Phone

(509) 720-8052

NPI assigned

Nov 7, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Emily Ruth Squezello Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1667779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672704000000",
    "number": "1336857671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 W RIVERSIDE AVE STE N",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992010580",
            "telephone_number": "509-720-8052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 S HOWARD ST STE 216",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992013816",
            "telephone_number": "509-720-8052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOON",
        "first_name": "RUBY",
        "credential": "EDS, NCSP, LMHCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-07",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, School",
            "state": "WA",
            "license": "499286C",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC61324957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "SQUEZELLO",
            "middle_name": "RUTH",
            "credential": "EDS, NCSP, LMHCA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Emma Moon
• Jenny Moon
• Julie Christine Moon, RDH
• Lauri K Moon, ARNP
• Renata Milena Stoszek Moon, M.D.
• Scott William Moon, RN
• Deirdre Marie Mooney, MD, MPH
• Moore Family Clinics, PLLC
• Moore Wellness
• Autumn Skye Moore, LMHCA

• Mental Health Counselor in Spokane, WA
• Providers in Spokane, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.