MOONRISE COUNSELING LLC
NPI 1215877683
Clinic/Center - Mental Health (Including Community Mental Health Center) in Toledo, OH

Active since March 28, 2026
4430 N HOLLAND SYLVANIA RD APT 3113, TOLEDO, OH 43623(419) 704-1000 Get Directions Write a Review

NPPES record last updated: March 28, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Moonrise Counseling Llc NPPES

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

MOONRISE COUNSELING LLC (NPI 1215877683) is a healthcare organization registered as a mental health (including community mental health center) in Toledo, Ohio and active in the NPI registry since March 2026. The organization lists Kaitlyn Bachmann, Clinical Therapist And Owner, as its authorized official.

NPPES Registry Identity

NPI1215877683
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameMOONRISE COUNSELING LLC
Location Address4430 N HOLLAND SYLVANIA RD APT 3113Toledo, OH 43623-3549
Mailing Address4430 N Holland Sylvania Rd Apt 3113Toledo, OH 43623-3549
Organization SubpartNo
Authorized OfficialKaitlyn BachmannClinical Therapist And Owner · (419) 704-1000
Enumeration DateMarch 28, 2026
NPPES CertifiedMarch 28, 2026
✔ NPI 1215877683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
4430 N HOLLAND SYLVANIA RD APT 3113, Toledo, OH 43623

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Moonrise Counseling Llc 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 Moonrise Counseling LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Social Worker
NPI 1255976585
4159 N HOLLAND SYLVANIA RD STE 205
Toledo, OH 43623
(419) 318-5286
✔ PECOS✔ Accepts Medicare0.3 mi

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 Moonrise Counseling LLC's NPI number?

The NPI number for Moonrise Counseling LLC is 1215877683. It was assigned to this organization in the NPPES registry on March 28, 2026.

Where is Moonrise Counseling LLC located?

Moonrise Counseling LLC is located at 4430 N Holland Sylvania Rd Apt 3113, Toledo, OH 43623. The listed phone number is (419) 704-1000.

What is Moonrise Counseling LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Is Moonrise Counseling LLC enrolled in Medicare?

Yes. Moonrise Counseling LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Moonrise Counseling LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Moonrise Counseling LLC. 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 Moonrise Counseling LLC was last updated on March 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.