Under the Moon Counseling

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

UNDER THE MOON COUNSELING

Practice address

1012 Capistrano CT Apt 302
Frederick, MD 21703-6305

Phone

(240) 707-8361

NPI assigned

Mar 2, 2022

Organization subpart

No

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

Authorized official

Name

Ms. Anntana Michelle Brown, LCPC

Title

Counselor

Phone

(240) 707-8361

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1646179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646179200000",
    "number": "1407503139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 CAPISTRANO CT APT 302",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217036305",
            "telephone_number": "240-707-8361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 CAPISTRANO CT APT 302",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217036305",
            "telephone_number": "240-707-8361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNDER THE MOON COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-02",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "ANNTANA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "240-707-8361",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "abrown@underthemooncounseling.com",
            "affiliation": "N",
            "address_1": "1012 Capistrano Ct Apt 302",
            "city": "Frederick",
            "state": "MD",
            "country_code": "US",
            "postal_code": "217036305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Frederick, MD
• Providers in Frederick, MD by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2022; 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.