Nikki Patricia Arnold Moon

Individual provider Active NPI Mental Health Counselor · South Jordan, UT

NPI 1831948843 · NPPES record last updated May 14, 2024

Key facts

NPI
1831948843
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
1206 W South Jordan Pkwy Ste D
South Jordan, UT 84095-5519
Phone
(801) 302-3801
NPI assigned
May 14, 2024
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
South Point Counseling Services, LLC Current
since May 19, 2024
Accepting new patients

Locations

1206 W South Jordan Pkwy
Ste D
South Jordan, UT 84095
Phone (801) 302-3801

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

1206 W South Jordan Pkwy Ste D
South Jordan, UT 84095-5519

Mailing address

5770 W Loch Raven CT
West Valley City, UT 84128-6951
Phone (801) 502-6626

Other providers in South Jordan, UT

All providers in South Jordan, UT · Mental Health Counselor in Utah

Sources for this page

Verify at the official NPI Registry.