Active NPI
Christopher D Moons, LPCC
- Professional Counselor
- Albany, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 1430
- Practice address
- 169 Middle School Rd
Albany, KY 42602-7931 - Phone
- (844) 435-0900
- Fax
- (270) 858-4029
- NPI assigned
- Nov 4, 2014
- Last updated
- Aug 22, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 1430 | KY | Primary |
Addresses
Primary practice location
169 Middle School Rd
Albany, KY 42602-7931
Mailing address
PO Box 1080
Burkesville, KY 42717-1080
Phone (270) 858-6655
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13515995 | Other | CAQH | |
| 7100331970 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1430 | KY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cumberland Family Medical Center Inc | Current | Accepting new patients | |
| Cumberland Family Medical Center Inc | Current | Accepting new patients | |
| Cumberland Family Medical Center Inc | Current | Accepting new patients | |
| Cumberland Family Medical Center Inc | Past | Accepting new patients |
Locations
169 Middle School Rd
Albany, KY 42602
Phone (606) 387-6466
204 King Dr
Albany, KY 42602
Phone (606) 387-4283
65 High School Dr
Albany, KY 42602
819 3rd St
Albany, KY 42602
Phone (606) 387-5828
360 Keen St
Burkesville, KY 42717
Phone (270) 864-1472
Organizations & group practices 4
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.
-
dba Cumberland Family Medical Center
- Federally Qualified Health Center (FQHC)
- Burkesville, KY
- NPI 1306873500
-
dba Metcalfe County Middle Healthy Kids Clinic
- Federally Qualified Health Center (FQHC)
- Edmonton, KY
- NPI 1548953672
-
dba Pine Knot Intermediate Healthy Kids Clinic
- Federally Qualified Health Center (FQHC)
- Pine Knot, KY
- NPI 1952959892
-
dba Clinton County High Healthy Kids Clinic
- Federally Qualified Health Center (FQHC)
- Albany, KY
- NPI 1558743005
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692662400000",
"number": "1467857342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1080",
"city": "BURKESVILLE",
"state": "KY",
"postal_code": "427171080",
"telephone_number": "270-858-6655",
"fax_number": "270-858-4607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "169 MIDDLE SCHOOL RD",
"city": "ALBANY",
"state": "KY",
"postal_code": "426027931",
"telephone_number": "844-435-0900",
"fax_number": "270-858-4029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOONS",
"first_name": "CHRISTOPHER",
"middle_name": "D",
"credential": "LPCC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-11-04",
"last_updated": "2023-08-22",
"certification_date": "2021-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "KY",
"license": "1430",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "13515995",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100331970",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Albany, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.