Individual provider Active NPI

Luna Levana Medina-Wolf, LMHC, NCC, MCAP

  • Mental Health Counselor
  • Boca Raton, FL
National Provider Identifier
1972976595
Registry record updated Mar 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH13741 Issued in FL
Practice address
6919 SW 18TH St Ste 201
Boca Raton, FL 33433-7010
Phone
(561) 571-1557
Fax
(561) 634-3537
NPI assigned
Nov 4, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2022

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 MH13741 FL Primary

Addresses

Primary practice location

6919 SW 18TH St Ste 201
Boca Raton, FL 33433-7010

Mailing address

22553 Swordfish Dr
Boca Raton, FL 33428-4614
Phone (561) 571-1557

Other practice location 1

2900 N University Dr
Coral Springs, FL 33065-5083
Phone (561) 571-1557

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

LicenseStateTypeSpecialty
MH13741FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Helping Moon Counseling, P.a Mental Health CurrentSince Mar 27, 2022 Accepting new patients

Locations

6919 SW 18th St
Ste 201
Boca Raton, FL 33433
Phone (561) 203-5930

2900 N University Dr
Ste 15
Coral Springs, FL 33065
Phone (561) 241-6628

2900 N University Dr
Coral Springs, FL 33065
Phone (561) 571-1557

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.

NPI Registry JSON

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

{
    "created_epoch": "1446595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647907200000",
    "number": "1972976595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22553 SWORDFISH DR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334284614",
            "telephone_number": "561-571-1557",
            "fax_number": "561-634-3537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6919 SW 18TH ST STE 201",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334337010",
            "telephone_number": "561-571-1557",
            "fax_number": "561-634-3537"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2900 N University Dr",
            "address_purpose": "LOCATION",
            "city": "Coral Springs",
            "state": "FL",
            "postal_code": "330655083",
            "country_code": "US",
            "telephone_number": "561-571-1557",
            "fax_number": "561-634-3537",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEDINA-WOLF",
        "first_name": "LUNA",
        "middle_name": "LEVANA",
        "credential": "LMHC, NCC, MCAP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-04",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH13741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2022; 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.