Individual provider Active NPI

Rae Johnson-Moonstone, LPC

  • Mental Health Counselor
  • Spring, TX
National Provider Identifier
1467686402
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
70524 Issued in TX
Practice address
330 Rayford Rd # 829
Spring, TX 77386-1980
Phone
(832) 861-6263
NPI assigned
May 5, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0018885 CO
Professional Counselor 101YP2500X 0701004569 VA
Mental Health Counselor 101YM0800X 9715 NC
Mental Health Counselor 101YM0800X 70524 TX Primary

Addresses

Primary practice location

330 Rayford Rd # 829
Spring, TX 77386-1980

Mailing address

330 Rayford Rd # 829
Spring, TX 77386-1980
Phone (832) 861-6263

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240524002470 TX Practitioner - Mental Health Counselor 5294177028 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0018885COMDMental Health Counselor
9715NCMDMental Health Counselor
0701004569VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Total Life Inc. CurrentSince May 1, 2024 Accepting new patients
Total Life FL PA CurrentSince Sep 1, 2025 Accepting new patients

Locations

110 Front St
Ste 300
Jupiter, FL 33477
Phone (205) 246-5690

825 Watters Creek Blvd
Ste 250
Allen, TX 75013
Phone (833) 231-4673

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1241481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756771200000",
    "number": "1467686402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 RAYFORD RD # 829",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773861980",
            "telephone_number": "832-861-6263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 RAYFORD RD # 829",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773861980",
            "telephone_number": "832-861-6263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON-MOONSTONE",
        "first_name": "RAE",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-05",
        "last_updated": "2025-09-02",
        "certification_date": "2025-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "0018885",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701004569",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "9715",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "70524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

Verify at the official NPI Registry.