Ronald O'Neil Moon, LMHC, CDP, MA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH00009860 Issued in WA

Practice address

17924 140TH Ave NE
Ste # 230
Woodinville, WA 98072-4315

Phone

(206) 419-9168

NPI assigned

Jul 25, 2014

Last updated

Jul 28, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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.

• Sound Family Center, LLC

  dba Kaeli A. Clark

  • Addiction (Substance Use Disorder) Counselor
  • Woodinville, WA
  • NPI 1811304025
  NPD (past)

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

{
    "created_epoch": "1406246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406505600000",
    "number": "1427466135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 231",
            "city": "MONROE",
            "state": "WA",
            "postal_code": "982720231",
            "telephone_number": "425-512-1161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17924 140TH AVE NE",
            "address_2": "STE # 230",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980724315",
            "telephone_number": "206-419-9168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOON",
        "first_name": "RONALD",
        "middle_name": "O'NEIL",
        "credential": "LMHC, CDP, MA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-25",
        "last_updated": "2014-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CD00000557",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00009860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cecile Culp Mielenz, PH.D.
• Erin Christine Milhem, PSY.D.
• Jill Truex Miller, MD
• Rebecca Marie Miller, DPT
• Steven Asher Montague, DO
• David Richard Moore, M.S, BC-HIS
• Roderick Alan Moore, DPM
• Destiny Morey
• Robin Rae Morris, LMHC
• Motivations (James R Fouts)

• Mental Health Counselor in Woodinville, WA
• Providers in Woodinville, 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 Jul 28, 2014; 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.