Active NPI
Debbie G Moon, AMFT
- Marriage & Family Therapist
- Farmington, UT
National Provider Identifier
1992012504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 5484887-3904
- Practice address
- 722 Shepard LN Ste 101
Farmington, UT 84025-3845 - Phone
- (801) 837-3228
- Fax
- (888) 778-2417
- NPI assigned
- Sep 2, 2010
- 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 | 5484887-3904 | UT | Primary |
Addresses
Primary practice location
722 Shepard LN Ste 101
Farmington, UT 84025-3845
Mailing address
733 King St # 263
Layton, UT 84041-4672
Phone (801) 837-3228
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629381355 | Medicaid | UT |
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 |
|---|---|---|---|
| 5484887-3904 | UT | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harmony Counseling LLC | Past | Accepting new patients |
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Framington, UT
- NPI 1629381355
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299715200000",
"number": "1992012504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "733 KING ST # 263",
"city": "LAYTON",
"state": "UT",
"postal_code": "840414672",
"telephone_number": "801-837-3228",
"fax_number": "888-778-2417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "722 SHEPARD LN STE 101",
"city": "FARMINGTON",
"state": "UT",
"postal_code": "840253845",
"telephone_number": "801-837-3228",
"fax_number": "888-778-2417"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOON",
"first_name": "DEBBIE",
"middle_name": "G",
"credential": "AMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-02",
"last_updated": "2011-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "UT",
"license": "5484887-3904",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1629381355",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Farmington, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.