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STEFANIE MOON
NPI 1346891009
Counselor - Professional in Fairborn, OH

Active since September 24, 2019PECOS Enrolled
1457 SPICETREE CIR APT 202, FAIRBORN, OH 45324(937) 408-5900 Get Directions Write a Review

NPPES record last updated: January 26, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 26, 2026, May 13, 2025, Sep 24, 2019 (3 updates tracked since 2019).

About Stefanie Moon NPPES

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

STEFANIE MOON (NPI 1346891009) is an individual professional provider in Fairborn, Ohio, licensed in Ohio (C.2507154) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1346891009
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSTEFANIE MOON
Location Address1457 SPICETREE CIR APT 202Fairborn, OH 45324-7105
Mailing Address1457 Spicetree Cir Apt 202Fairborn, OH 45324-7105 · (937) 408-5900
Phone(937) 408-5900
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateSeptember 24, 2019
Last NPPES UpdateJanuary 26, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 26, 2026
✔ NPI 1346891009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in OH · C.2507154
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
1457 SPICETREE CIR APT 202, Fairborn, OH 45324
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stefanie Moon is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6608355185
PECOS Enrollment IDI20260204004162
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.

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 Stefanie Moon's NPI number?

The NPI number for Stefanie Moon is 1346891009. It was assigned to this individual provider in the NPPES registry on September 24, 2019.

Where is Stefanie Moon located?

Stefanie Moon practices at 1457 Spicetree Cir Apt 202, Fairborn, OH 45324. The listed phone number is (937) 408-5900.

What is Stefanie Moon's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Stefanie Moon enrolled in Medicare?

Yes. Stefanie Moon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stefanie Moon was last updated on January 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.