New Moon Counseling LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

NEW MOON COUNSELING LLC

Practice address

525 Route 73 N Ste 104
Marlton, NJ 08053-3422

Phone

(732) 330-0974

NPI assigned

Apr 18, 2023

Organization subpart

No

Name

Rachel Tice, LPCNPI 1275989733

Title

Owner

Phone

(732) 330-0974

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rachel Tice, LPC

  • Counselor
  • Marlton, NJ
  • NPI 1275989733
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 18, 2023.

{
    "created_epoch": "1681776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681776000000",
    "number": "1972299394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 ELM ST",
            "city": "BEACHWOOD",
            "state": "NJ",
            "postal_code": "087223419",
            "telephone_number": "732-330-0974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 ROUTE 73 N STE 104",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080533422",
            "telephone_number": "732-330-0974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW MOON COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-18",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-17",
        "status": "A",
        "authorized_official_last_name": "TICE",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-330-0974",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; 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.