NEW MOON COUNSELING AND WELLNESS, LLC (NPI# 1447862560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447862560 |
| Entity Type | Organization |
| Organization Name | NEW MOON COUNSELING AND WELLNESS, LLC |
| Practice Address |
713 Millpond Rd Ste 8 Lexington KY 40514-1570 |
| Mailing Address |
2350 Heather Way Lexington KY 40503-2611 |
| Practice Telephone | 8595392353 |
| Mailing Telephone | 8285079488 |
| Enumeration Date | 2020-08-19 |
| Last Update Date | 2020-08-19 |
| Authorized Official Name | CATHERINE TOLEDO (CLINICAL MENTAL HEALTH COUNSELOR) |
| Authorized Official Telephone | 8285079488 |
| Authorized Official Credential | M.S., LPC-A, NCC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100677810 | 05 |
| Street Address |
713 MILLPOND RD STE 8 |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40514-1570 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912310525 | Ameer Allouch | Pharmacist | 3513 Dylan Place, Lexington, KY 40514 | 2014-06-11 |
| 1417226911 | Meenu Devi | Specialist | 505 Newbury Way, Lexington, KY 40514 | 2011-12-29 |
| 1295998185 | Dickson Peter Ufomata | Dentist | 1600 Leestown Road, Ste. 138, Lexington, KY 40514 | 2008-07-09 |
| 1073980918 | Krystina Marcio | Pharmacist | 3813 Dylan Pl, Lexington, KY 40514 | 2015-08-26 |
| 1336224484 | The Smile Shop Inc | Dentist | 3650 Boston Rd, Suite K, Lexington, KY 40514 | 2006-10-26 |
| 1184806259 | Carrie Bales | Developmental Therapist | 1028 Moylan Ln, Lexington, KY 40514-1010 | 2007-11-30 |
| 1134512361 | Rachael Hilliard | Speech-Language Pathologist | 1145 Wood Ridge Rd, Lexington, KY 40514-1016 | 2015-03-12 |
| 1619319076 | Jacklyn Martin | Developmental Therapist | 913 Overview Dr, Lexington, KY 40514-1032 | 2013-07-25 |
| 1427214394 | Karen C Mahaney | Pharmacist | 3813 Dylan Pl, Lexington, KY 40514-1062 | 2008-07-31 |
| 1366606501 | Chiro One Wellness Center of Mill Pond Pllc | Chiropractor | 3801 Dylan Pl, Suite 110, Lexington, KY 40514-1062 | 2008-07-16 |
| Find all providers in zip 40514 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548860752 | Tyler Douglas Choate | Counselor | 908 Star of Danube Way, Lexington, KY 40509-4473 | 2020-10-27 |
| 1194370429 | Brain Health Center Psc | Counselor | 535 W Second St Ste 205, Lexington, KY 40508-2183 | 2019-08-05 |
| 1841842010 | Jessica Brooke Castleberry | Counselor | Chrysalis House, Inc., 1589 Hill Rise Drive, Lexington, KY 40504 | 2019-07-09 |
| 1083120620 | Diana Reiss | Counselor | 714 S Lake Drive, 120, Lexington, SC 29072 | 2017-12-19 |
| 1326588120 | Ethan Nathaniel Grimes | Counselor | 124 Cisco Rd, Lexington, KY 40504-1143 | 2017-02-28 |
| 1669911202 | Suzanne Rose Troy | Counselor | 110-a Cotton Grove Rd., Lexington, NC 27292 | 2017-02-15 |
| 1265977342 | Tara Bangtson | Counselor | 251 E Maxwell St, Lexington, KY 40508-2636 | 2016-12-28 |
| 1265974828 | Megan Perkins | Counselor | 464 W Second St # 9, Lexington, KY 40507-1040 | 2016-11-14 |
| 1851768436 | Rebecca Lynn Host | Counselor | 128 Dennis Dr, Lexington, KY 40503-2917 | 2015-08-30 |
| 1144608944 | Courtney Mcmillian | Counselor | 582 Wrenn Dr, Lexington, NC 27292-7598 | 2015-05-12 |
| Find all providers in LEXINGTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.