Individual provider Active NPI

Mari Mooncook, M.A.

  • Mental Health Counselor
  • Mountain View, CA
National Provider Identifier
1790102978
Registry record updated Mar 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
53155 Issued in CA
Practice address
1301 Brook PL
Mountain View, CA 94040-3908
Phone
(650) 465-9331
Fax
(650) 864-9006
NPI assigned
Mar 25, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 53155 CA Primary

Addresses

Primary practice location

1301 Brook PL
Mountain View, CA 94040-3908

Mailing address

1301 Brook PL
Mountain View, CA 94040-3908
Phone (650) 465-9331

Other names 1

  • Mrs. Jesse Mari Mooncook Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
53155CAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1395705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395705600000",
    "number": "1790102978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 BROOK PL",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940403908",
            "telephone_number": "650-465-9331",
            "fax_number": "650-864-9006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 BROOK PL",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940403908",
            "telephone_number": "650-465-9331",
            "fax_number": "650-864-9006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOONCOOK",
        "first_name": "MARI",
        "name_prefix": "Mrs.",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-25",
        "last_updated": "2014-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "53155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSE",
            "last_name": "MOONCOOK",
            "middle_name": "MARI",
            "prefix": "MRS.",
            "credential": "M.A,",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Mountain View, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.