MRS. JONI MARIE MOON PSY.D.
NPI 1235221052
Psychologist - Clinical in Gresham, OR

Q: What is Joni Moon's NPI number?

The NPI number for Joni Moon is 1235221052. It was assigned to this individual provider in the NPPES registry on September 29, 2006.

Q: What is Joni Moon's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Joni Moon was last updated on February 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since September 29, 2006PECOS EnrolledAccepts Medicare Assignment

502 N MAIN AVE, GRESHAM, OR 97030(503) 891-0749 Get Directions Write a Review

NPPES record last updated: February 27, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Mrs. Joni Marie Moon Psy.d. NPPES

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

MRS. JONI MARIE MOON PSY.D. (NPI 1235221052) is an individual clinical provider in Gresham, Oregon, licensed in Oregon (1637) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1235221052

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameMRS. JONI MARIE MOONCredential: PSY.D.

Location Address502 N MAIN AVEGresham, OR 97030-7236

Mailing Address2700 Sw Corbeth LnTroutdale, OR 97060-3140 · (503) 891-0749

Phone(503) 891-0749

Sole ProprietorNo

Medical School CMSOtherGraduated 2003

Enumeration DateSeptember 29, 2006

Last NPPES UpdateFebruary 27, 2025

NPPES CertifiedFebruary 27, 2025

✔ NPI 1235221052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in OR · 1637

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedPsychologistTaxonomy 103T00000X · License 1637 (OR)

502 N MAIN AVE, Gresham, OR 97030

Open in Google Maps ↗

Other Identifiers 1

Medicaid164936OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Joni Marie Moon Psy.d. 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 ID3577759588

PECOS Enrollment IDI20101201001249

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.

Medicare Billing Reassignment

Medicare enrollment records show Joni Moon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Moon-Hart Psychotherapy & Consulting

Same address

Psychologist

502 N MAIN AVE
Gresham, OR 97030

Reassigned Medicare billing, Oregon enrollment

NPI 1659176725 (503) 891-0749

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97030 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$176.88 typical visit price

range $58.99 – $176.88

Typical copayment $44.22 (range $14.74 – $44.22)

Most-billed visit code 99205

Established Patient

$103.51 typical visit price

range $19.32 – $144.79

Typical copayment $25.87 (range $4.83 – $36.19)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

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

MAIN PSYCHOLOGY INC

Community/Behavioral Health

502 N MAIN AVE
GRESHAM, OR 97030

Multnomah County (971) 328-1794

PACIFIC PSYCHOLOGY GROUP

Clinic/Center (Mental Health (Including Community Mental Health Center))

502 N MAIN AVE
GRESHAM, OR 97030

Multnomah County (503) 492-7470

MOON-HART PSYCHOTHERAPY & CONSULTING

Psychologist

502 N MAIN AVE
GRESHAM, OR 97030

Multnomah County (503) 891-0749

POSITIVE IMPACT PSYCHOLOGY & CONSULTING

Clinic/Center (Adult Mental Health)

502 N MAIN AVE
GRESHAM, OR 97030

Multnomah County (503) 676-7710

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 Joni Moon's NPI number?

The NPI number for Joni Moon is 1235221052. It was assigned to this individual provider in the NPPES registry on September 29, 2006.

Where is Joni Moon located?

Joni Moon practices at 502 N Main Ave, Gresham, OR 97030. The listed phone number is (503) 891-0749.

What is Joni Moon's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Joni Moon enrolled in Medicare?

Yes. Joni 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.

Which organization bills Medicare for Joni Moon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joni Moon reassigns Medicare benefits to Moon-Hart Psychotherapy & Consulting (Gresham, OR). The 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 Joni Moon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Joni Moon accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Joni Moon 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 Joni Moon was last updated on February 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.