Active NPI
Beth Moon, LMFT-C
- Marriage & Family Therapist
- Edmond, OK
National Provider Identifier
1831812700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 12944
- Practice address
- 4851 Integris Pkwy
Edmond, OK 73034-8864 - Phone
- (405) 216-2500
- Fax
- (405) 216-2591
- NPI assigned
- Sep 26, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 12944 | OK | Primary |
Addresses
Primary practice location
4851 Integris Pkwy
Edmond, OK 73034-8864
Mailing address
2408 Palomino Dr
Edmond, OK 73034-5934
Phone (405) 426-5778
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-22-234733 | OK | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781654400000",
"number": "1831812700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2408 PALOMINO DR",
"city": "EDMOND",
"state": "OK",
"postal_code": "730345934",
"telephone_number": "405-426-5778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4851 INTEGRIS PKWY",
"city": "EDMOND",
"state": "OK",
"postal_code": "730348864",
"telephone_number": "405-216-2500",
"fax_number": "405-216-2591"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOON",
"first_name": "BETH",
"credential": "LMFT-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-26",
"last_updated": "2026-06-17",
"certification_date": "2026-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "OK",
"license": "12944",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edmond, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.