Christopher Moon, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2002032340 Issued in MO

Practice address

200 NE Missouri Rd
Suite 302
Lees Summit, MO 64086-4720

Phone

(816) 523-0103

Fax

(816) 361-6471

NPI assigned

Dec 22, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

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

Specialty

Mental Health Counselor

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

M a Mirza LLCGroup PAC ID 4284865056, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• M a Mirza, LLC

  dba White Oak Psychiatric Services

  • Prescribing (Medical) Psychologist
  • Lee's Summit, MO
  • NPI 1376757617
  Medicare reassignment Care Compare group
• Midwest Psychiatric Consultants, P.C.

  • Specialist
  • Lee's Summit, MO
  • NPI 1265472088
  NPD (past)

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376608190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 NE MISSOURI RD",
            "address_2": "SUITE 302",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640864720",
            "telephone_number": "816-523-0103",
            "fax_number": "816-361-6471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 NE MISSOURI RD",
            "address_2": "SUITE 302",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640864720",
            "telephone_number": "816-523-0103",
            "fax_number": "816-361-6471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOON",
        "first_name": "CHRISTOPHER",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2002032340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Riley Monteil
• Nicole Montgomery, PT, DPT
• Staecy Montgomery, PN
• Jordan Montoya, MD
• Phillip Montoya, DDS
• Haley Moore, MFT
• Kelly Moore
• Riley Austin Moore, PA-C
• Kyleigh Renae Moorer, ATC
• April Denise Morford

• Professional Counselor in Lee's Summit, MO
• Providers in Lee's Summit, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.