Individual provider Active NPI

Angela Moon, LPC

  • Mental Health Counselor
  • North Richland Hills, TX
National Provider Identifier
1669177283
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
91328 Issued in TX
Practice address
8408 Davis Blvd Ste 240
North Richland Hills, TX 76182-8610
Phone
(817) 765-5664
NPI assigned
Apr 3, 2023
Last updated
Jan 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 91328 TX Primary
Professional Counselor 101YP2500X 91328 TX

Addresses

Primary practice location

8408 Davis Blvd Ste 240
North Richland Hills, TX 76182-8610

Mailing address

8408 Davis Blvd Ste 240
North Richland Hills, TX 76182-8610
Phone (817) 765-5664

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20250725001043 TX Practitioner - Mental Health Counselor 4082121017 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
91328TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
SW FW Mental Health , PLLC CurrentSince Nov 1, 2023 Accepting new patients
Emh Mid-Cities PLLC Mental Health CurrentSince Jul 1, 2025 Accepting new patients
Unstuck Space PLLC Mental Health PastSince Nov 1, 2023 Accepting new patients
Rayl Enterprises Professional PastSince Apr 1, 2023 Accepting new patients

Locations

6628 Bryant Irvin Rd
Ste 200
Ft Worth, TX 76132
Phone (214) 842-9581

4841 Merlot Ave
Unit 420
Grapevine, TX 76051
Phone (817) 392-9122

8408 Davis Blvd
Ste 240
North Richland Hills, TX 76182
Phone (817) 765-5664

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.

NPI Registry JSON

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

{
    "created_epoch": "1680480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769472000000",
    "number": "1669177283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8408 DAVIS BLVD STE 240",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761828610",
            "telephone_number": "817-765-5664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8408 DAVIS BLVD STE 240",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761828610",
            "telephone_number": "817-765-5664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOON",
        "first_name": "ANGELA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-03",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "91328",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "91328",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Richland Hills, TX

Sources for this page

Verify at the official NPI Registry.