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MOONSTONE MENTAL HEALTH
NPI 1083450761
Nurse Practitioner - Psychiatric/Mental Health in Tigard, OR

Active since July 02, 2024
7110 SW FIR LOOP STE 145, TIGARD, OR 97223(503) 389-5882 Get Directions Write a Review

NPPES record last updated: January 20, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Moonstone Mental Health NPPES

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

MOONSTONE MENTAL HEALTH (NPI 1083450761) is a healthcare organization registered as a psychiatric/mental health in Tigard, Oregon and active in the NPI registry since July 2024. The organization lists Jennie Peterson, Pmhnp-bc, as its authorized official.

NPPES Registry Identity

NPI1083450761
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameMOONSTONE MENTAL HEALTH
Location Address7110 SW FIR LOOP STE 145Tigard, OR 97223-8031
Mailing Address7110 Sw Fir Loop Ste 145Tigard, OR 97223-8031 · (503) 389-5882
Phone(503) 389-5882
Organization SubpartNo
Authorized OfficialJennie PetersonPmhnp-bc · (503) 443-8339
Enumeration DateJuly 2, 2024
Last NPPES UpdateJanuary 20, 2025
NPPES CertifiedJanuary 20, 2025
✔ NPI 1083450761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
7110 SW FIR LOOP STE 145, Tigard, OR 97223
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Regence BlueCross BlueShield of Oregon.Insurance ›

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAITLYN DOVE
Counselor (Mental Health)
7110 SW FIR LOOP STE 145
PORTLAND, OR 97223
Washington County (971) 238-2418
LESLIE TAYLOR MA, PCA
Counselor (Mental Health)
7110 SW FIR LOOP STE 145
TIGARD, OR 97223
Washington County (971) 238-2418
MEAGAN MCBRIDE
Counselor (Mental Health)
7110 SW FIR LOOP STE 145
TIGARD, OR 97223
Washington County (971) 245-2859
SARAH MOYER
Counselor (Mental Health)
7110 SW FIR LOOP STE 145
TIGARD, OR 97223
Washington County (503) 866-5453
OAK HILLS COUNSELING CENTER
Clinic/Center (Mental Health (Including Community Mental Health Center))
7110 SW FIR LOOP STE 145
PORTLAND, OR 97223
Washington County (971) 238-2418

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 Moonstone Mental Health's NPI number?

The NPI number for Moonstone Mental Health is 1083450761. It was assigned to this organization in the NPPES registry on July 2, 2024.

Where is Moonstone Mental Health located?

Moonstone Mental Health is located at 7110 SW Fir Loop Ste 145, Tigard, OR 97223. The listed phone number is (503) 389-5882.

What is Moonstone Mental Health's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

What insurance does Moonstone Mental Health accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Moonstone Mental Health as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Moonstone Mental Health was last updated on January 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.