SUMMER MOON LPC
NPI 1144182650
Counselor - Professional in Lagrange, GA
About Summer Moon Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUMMER MOON LPC (NPI 1144182650) is an individual professional provider in Lagrange, Georgia, licensed in Georgia (LPC014910) and active in the NPI registry since December 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
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
Summer Moon Lpc 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.
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.
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 Summer Moon's NPI number?
The NPI number for Summer Moon is 1144182650. It was assigned to this individual provider in the NPPES registry on December 2, 2025.
Where is Summer Moon located?
Summer Moon practices at 403 Ridley Ave, Lagrange, GA 30240. The listed phone number is (706) 756-1970.
What is Summer Moon's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Summer Moon enrolled in Medicare?
Yes. Summer 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 Summer Moon was last updated on October 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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.
# Summer Moon, LPC · NPI 1144182650
Professional provider in Lagrange, Georgia. Individual provider, active in the CMS NPPES registry since December 2, 2025.
## Identity
- **NPI:** 1144182650 (Entity type: Individual)
- **Enumerated:** December 2, 2025
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** LPC014910 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 403 RIDLEY AVE, Lagrange, GA 30240-2231
- **Phone:** (706) 756-1970
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** October 2, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1144182650) · Data from the CMS NPPES public registry.