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MRS. JENNIFER STALLER MOON LPC
NPI 1023942174
Counselor - Mental Health in Cumming, GA

Active since June 11, 2026
2445 CHURCHILL DOWNS, CUMMING, GA 30041(470) 353-5596 Get Directions Write a Review

NPPES record last updated: June 11, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Jennifer Staller Moon Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. JENNIFER STALLER MOON LPC (NPI 1023942174) is an individual mental health provider in Cumming, Georgia, licensed in Georgia (016935) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1023942174
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. JENNIFER STALLER MOONCredential: LPC
Location Address2445 CHURCHILL DOWNSCumming, GA 30041-8269
Mailing Address2445 Churchill DownsCumming, GA 30041-8269 · (470) 353-5596
Phone(470) 353-5596
Sole ProprietorYes
Enumeration DateJune 11, 2026
NPPES CertifiedJune 11, 2026
✔ NPI 1023942174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in GA · 016935
2445 CHURCHILL DOWNS, Cumming, GA 30041
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Moon's NPI number?

The NPI number for Jennifer Moon is 1023942174. It was assigned to this individual provider in the NPPES registry on June 11, 2026.

Where is Jennifer Moon located?

Jennifer Moon practices at 2445 Churchill Downs, Cumming, GA 30041. The listed phone number is (470) 353-5596.

What is Jennifer Moon's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Jennifer Moon was last updated on June 11, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.