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JEFFREY ALAN MOON LMFT
NPI 1083047997
Marriage & Family Therapist in Folsom, CA

Active since August 14, 2013PECOS EnrolledAccepts Medicare Assignment
13405 FOLSOM BLVD STE 210, FOLSOM, CA 95630(916) 621-2750(916) 621-2750 Get Directions Write a Review

NPPES record last updated: June 4, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 4, 2024, Jan 24, 2019 (2 updates tracked since 2019).

About Jeffrey Alan Moon Lmft NPPES

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

JEFFREY ALAN MOON LMFT (NPI 1083047997) is an individual marriage & family therapist in Folsom, California, licensed in California (104390) and active in the NPI registry since August 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1083047997
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameJEFFREY ALAN MOONCredential: LMFT
Location Address13405 FOLSOM BLVD STE 210Folsom, CA 95630-4738
Mailing Address3599 Homestead RdRescue, CA 95672-9547 · (530) 591-5720 · Fax (207) 692-9374
Phone(916) 621-2750
Fax(916) 621-2750
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateAugust 14, 2013
Last NPPES UpdateJune 4, 20242 updates tracked since enumeration
NPPES CertifiedJune 4, 2024
✔ NPI 1083047997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 104390
Definition
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.
13405 FOLSOM BLVD STE 210, Folsom, CA 95630
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jeffrey Alan Moon Lmft is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6103277827
PECOS Enrollment IDI20240108000631
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Jeffrey Moon's NPI number?

The NPI number for Jeffrey Moon is 1083047997. It was assigned to this individual provider in the NPPES registry on August 14, 2013.

Where is Jeffrey Moon located?

Jeffrey Moon practices at 13405 Folsom Blvd Ste 210, Folsom, CA 95630. The listed phone number is (916) 621-2750.

What is Jeffrey Moon's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Jeffrey Moon enrolled in Medicare?

Yes. Jeffrey Moon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jeffrey Moon was last updated on June 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.