Individual provider Active NPI

James Lucas Moons, LPCC

  • Professional Counselor
  • Burkesville, KY
National Provider Identifier
1992108211
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
175407 Issued in KY
Practice address
Cumberland County Elementary Healthy Kids Clinic
150 Glasgow Rd
Burkesville, KY 42717-9695
Phone
(844) 435-0900
Fax
(270) 858-4027
NPI assigned
Oct 1, 2014
Last updated
Sep 20, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Professional Counselor 101YP2500X 176407 KY
Professional Counselor 101YP2500X 175407 KY Primary

Addresses

Primary practice location

Cumberland County Elementary Healthy Kids Clinic
150 Glasgow Rd
Burkesville, KY 42717-9695

Mailing address

PO Box 1080
Burkesville, KY 42717-1080
Phone (270) 858-6655

Other names 1

  • James Lucas Moons Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240105003537 KY Practitioner - Mental Health Counselor 8729439575 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
175407KYMDProfessional Counselor
176407KYMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cumberland Family Medical Center Inc CurrentSince Jan 1, 2023 Accepting new patients
Cumberland Family Medical Center Inc CurrentSince Jan 1, 2023 Accepting new patients
Lake Cumberland Regional Mental Health Mental Retardation Board, Inc. Past Accepting new patients
Lake Cumberland Regional MHMR Board Outpatient Past Accepting new patients

Locations

150 Glasgow Rd
Burkesville, KY 42717
Phone (270) 864-1262

360 Keen St
Burkesville, KY 42717
Phone (270) 864-1472

908 N Main St
Burkesville, KY 42717
Phone (270) 864-5818

912 N Main St
Burkesville, KY 42717
Phone (270) 864-3451

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1412121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1992108211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1080",
            "city": "BURKESVILLE",
            "state": "KY",
            "postal_code": "427171080",
            "telephone_number": "270-858-6655",
            "fax_number": "270-858-4027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CUMBERLAND COUNTY ELEMENTARY HEALTHY KIDS CLINIC",
            "address_2": "150 GLASGOW RD",
            "city": "BURKESVILLE",
            "state": "KY",
            "postal_code": "427179695",
            "telephone_number": "844-435-0900",
            "fax_number": "270-858-4027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOONS",
        "first_name": "JAMES",
        "middle_name": "LUCAS",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-01",
        "last_updated": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "176407",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "175407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMES",
            "last_name": "MOONS",
            "middle_name": "LUCAS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Burkesville, KY

Sources for this page

Verify at the official NPI Registry.