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MOONSTONE THERAPY AND WELLNESS
NPI 1124855945
Social Worker - Clinical in Princeton, NJ

Active since September 16, 2024
475 WALL ST, PRINCETON, NJ 08540(609) 213-0128 Get Directions Write a Review

NPPES record last updated: September 16, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Moonstone Therapy And Wellness NPPES

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

MOONSTONE THERAPY AND WELLNESS (NPI 1124855945) is a healthcare organization registered as a clinical in Princeton, New Jersey and active in the NPI registry since September 2024. The organization lists Shanya Roberson, Owner, as its authorized official.

NPPES Registry Identity

NPI1124855945
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameMOONSTONE THERAPY AND WELLNESS
Location Address475 WALL STPrinceton, NJ 08540-1509
Mailing Address475 Wall StPrinceton, NJ 08540-1509 · (609) 213-0128
Phone(609) 213-0128
Organization SubpartNo
Authorized OfficialShanya RobersonOwner · (609) 213-0128
Enumeration DateSeptember 16, 2024
NPPES CertifiedSeptember 16, 2024
✔ NPI 1124855945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
475 WALL ST, Princeton, NJ 08540
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Other Names 1

Doing Business AsMoonstone Therapy And Wellness

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Moonstone Therapy And Wellness is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Moonstone Therapy And Wellness, which bills Medicare for the services this clinician delivers.

Clinician (1)

Shanya Roberson, LCSW
Clinical Social Worker
NPI 1851968242
475 WALL ST
Princeton, NJ 08540
(609) 213-0128
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Therapy And Wellness's NPI number?

The NPI number for Moonstone Therapy And Wellness is 1124855945. It was assigned to this organization in the NPPES registry on September 16, 2024.

Where is Moonstone Therapy And Wellness located?

Moonstone Therapy And Wellness is located at 475 Wall St, Princeton, NJ 08540. The listed phone number is (609) 213-0128.

What is Moonstone Therapy And Wellness's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Moonstone Therapy And Wellness enrolled in Medicare?

Yes. Moonstone Therapy And Wellness is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Moonstone Therapy And Wellness?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Moonstone Therapy And Wellness. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Moonstone Therapy And Wellness was last updated on September 16, 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.