Jacob Moon, MS, LMFT, LPC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

4101007162 Issued in MI

Practice address

146 Monroe Center St NW Ste 1104
Grand Rapids, MI 49503-2820

Phone

(616) 626-1082

NPI assigned

Feb 19, 2019

Sex

Male

Sole proprietor

Yes

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 Science

State licenses

Practice roles

Locations

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.

• Relational Therapy Collective LLC

  • Marriage & Family Therapist
  • Grand Rapids, MI
  • NPI 1558246280

  Mental Health

  NPD Authorized official
• Clarity Therapy & Consulting

  • Marriage & Family Therapist
  • Grand Rapids, MI
  • NPI 1073394599

  Mental Health

  NPD (past)
• Inprocess Counseling LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Grand Rapids, MI
  • NPI 1699440586
  NPD (past)

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

{
    "created_epoch": "1550534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759190400000",
    "number": "1831655422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 COLLEGE AVE SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495072621",
            "telephone_number": "616-209-8854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 MONROE CENTER ST NW STE 1104",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032820",
            "telephone_number": "616-626-1082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOON",
        "first_name": "JACOB",
        "credential": "MS, LMFT, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-02-19",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MI",
            "license": "4101007162",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401224962",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lanise Moody
• Nicholas Allen Moody, PHARMD
• Christopher Scott Moon
• Cynthia Rae Moon, MA, LLPC
• David Sung-Wook Moon, M.D.
• Stephanie E Moon, OTRL
• Mooney Medical Group PLLC
• Nicole A Mooney
• Moore 2 Love Doula Services
• Moore Wellness and Care Solutions, LLC

• Marriage & Family Therapist in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Marriage & Family Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2025; 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.