JEFF A MOON (NPI# 1083047997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083047997 |
| Entity Type | Individual |
| Full Name | JEFF A MOON |
| Credential | LMFT |
| Practice Address |
13405 Folsom Blvd Ste 210 Folsom CA 95630-4738 |
| Mailing Address |
3599 Homestead Rd Rescue CA 95672-9547 |
| Practice Telephone | 9166212750 |
| Practice Fax Number | 9166212750 |
| Mailing Telephone | 5305915720 |
| Mailing Fax Number | 2076929374 |
| Enumeration Date | 2013-08-14 |
| Last Update Date | 2019-01-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 104390 | CA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1133 Coloma Way, Roseville, CA 956614480 | 9167746647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669767679 | Jeff Moon | Dentist | 6735 Leaberry Way, Haymarket, VA 20169 | 2011-06-17 |
| 1366561227 | Jeff C Moon | Preventive Medicine | 2621 Losee Rd, North Las Vegas, NV 89030-4129 | 2007-03-29 |
| Street Address |
13405 FOLSOM BLVD STE 210 |
| City | FOLSOM |
| State | CA |
| Zip Code | 95630-4738 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831724657 | Corrections and Rehabilitation | Pharmacy | 570 E. Natoma Street, Folsom, CA 95630 | 2020-03-12 |
| 1174153027 | Haley Harmon | Nurse Practitioner | 1621 Creekside Dr. Creekside Ob/gyn, Ste. 102, Folsom, CA 95630 | 2020-01-20 |
| 1932741469 | Ruma Ramani Jolly | Speech-Language Pathologist | 250 Mc Adoo Drive, Willow Springs, Apt.911, Folsom, CA 95630 | 2019-10-16 |
| 1750844767 | Sharon Munyaanyi | Registered Nurse | 1600 Creekside Dr Ste 3700, Folsom, CA 95630 | 2019-04-08 |
| 1104308345 | Stephanie Whatley | Optometrist | 2390 E Bidwell St Ste 400, Folsom, CA 95630 | 2018-09-04 |
| 1447746607 | Heather Michellee Thrapp | Behavioral Analyst | 125 Oak Ravine Way, Folsom, CA 95630 | 2018-07-10 |
| 1700370483 | Loretta May Delgado | Behavior Technician | 322 Crow Cany, Folsom, CA 95630 | 2018-06-18 |
| 1417448176 | Sound Support Inc. | Hearing Instrument Specialist | 610 East Bidwell Street, Suite A, Folsom, CA 95630 | 2018-05-29 |
| 1548750144 | Don Peterson Md, Sugical Assisting | General Practice | Mercy Hospital of Folsom (dignity Health Folsom), 1650 Creekside Dr., Folsom, CA 95630 | 2018-05-18 |
| 1245733328 | American Heritage Hospice Inc | Hospice Care, Community Based | 1837 Iron Point Rd Ste 180, Folsom, CA 95630 | 2018-03-14 |
| Find all providers in zip 95630 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245859164 | Jeanine Bogart | Marriage & Family Therapist | 111 Natoma St Ste 106, Folsom, CA 95630-2615 | 2020-04-10 |
| 1831640630 | Susan Rivieccio | Marriage & Family Therapist | 1581 Bonanza Ln, Folsom, CA 95630-7391 | 2016-10-18 |
| 1073993713 | Kathryn Ventry | Marriage & Family Therapist | 706 Natoma St., Folsom, CA 95630-7941 | 2015-06-08 |
| 1750773396 | Pacific Trauma Specialists | Marriage & Family Therapist | 706 Natoma St, Folsom, CA 95630-3074 | 2015-02-18 |
| 1972903979 | Kristin Freestone | Marriage & Family Therapist | 140 Tomlinson Dr, Folsom, CA 95630-7401 | 2014-08-27 |
| 1063823219 | Stephanie Layton | Marriage & Family Therapist | 1000 River Rock Dr Ste 106, Folsom, CA 95630-2093 | 2014-05-09 |
| 1689099749 | Chelsea Marie Gilbert | Marriage & Family Therapist | 850 Iron Point Rd Ste 116, Folsom, CA 95630-9010 | 2014-02-26 |
| 1689001836 | Evelyn Deroos | Marriage & Family Therapist | 2250 E Bidwell St, Suite 100, Folsom, CA 95630-3552 | 2013-10-02 |
| 1164864633 | Suzanne Marie Lee | Marriage & Family Therapist | 1839 Iron Point Rd Ste 120, Folsom, CA 95630-8834 | 2013-07-24 |
| 1790023828 | Beverly Diane Baldwin | Marriage & Family Therapist | 1845 Iron Point Rd Ste 180, Folsom, CA 95630-8835 | 2013-01-24 |
| Find all providers in FOLSOM | ||||
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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.