MR. CHRISTOPHER MOON LPC
NPI 1376608190
Counselor - Professional in Lees Summit, MO

Active since December 22, 2006PECOS EnrolledAccepts Medicare Assignment
200 NE MISSOURI RD, SUITE 302, LEES SUMMIT, MO 64086(816) 523-0103(816) 361-6471 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mr. Christopher Moon Lpc NPPES

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

MR. CHRISTOPHER MOON LPC (NPI 1376608190) is an individual professional provider in Lees Summit, Missouri, licensed in Missouri (2002032340) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1376608190
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. CHRISTOPHER MOONCredential: LPC
Location Address200 NE MISSOURI RD, SUITE 302Lees Summit, MO 64086-4720
Mailing Address200 Ne Missouri Rd, Suite 302Lees Summit, MO 64086-4720 · (816) 523-0103 · Fax (816) 361-6471
Fax(816) 361-6471
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateDecember 22, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1376608190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MO · 2002032340
200 NE MISSOURI RD, Lees Summit, MO 64086

Accepted 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

Mr. Christopher 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.

PECOS PAC ID6406296078
PECOS Enrollment IDI20240430001009
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 Christopher Moon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Prescribing (Medical)
4045 NE LAKEWOOD WAY, SUITE 130
Lees Summit, MO 64064
  • Reassigned Medicare billing, Missouri enrollment
  • 14 clinicians in this Medicare group

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

Other Providers at the Same Location NPPES 15

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

Counselor (Mental Health)
200 NE MISSOURI RD
LEES SUMMIT, MO 64086
Counselor (Professional)
200 NE MISSOURI RD, SUITE 302
LEES SUMMIT, MO 64086
Social Worker
200 NE MISSOURI RD, SUITE 302
LEES SUMMIT, MO 64086
Dietitian, Registered
200 NE MISSOURI RD
LEES SUMMIT, MO 64086
Pain Medicine (Pain Medicine)
200 NE MISSOURI RD, SUITE 103
LEES SUMMIT, MO 64086
Specialist
200 NE MISSOURI RD, SUITE 302
LEES SUMMIT, MO 64086
Point of Service
200 NE MISSOURI RD, SUITE 200
LEES SUMMIT, MO 64086
Behavior Analyst
200 NE MISSOURI RD
LEES SUMMIT, MO 64086

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 Christopher Moon's NPI number?

The NPI number for Christopher Moon is 1376608190. It was assigned to this individual provider in the NPPES registry on December 22, 2006.

Where is Christopher Moon located?

Christopher Moon practices at 200 NE Missouri Rd Suite 302, Lees Summit, MO 64086. The listed phone number is (816) 523-0103.

What is Christopher Moon's specialty?

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

Is Christopher Moon enrolled in Medicare?

Yes. Christopher 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 Christopher Moon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Christopher Moon reassigns Medicare benefits to M A Mirza, LLC (Lees Summit, MO). 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 Christopher Moon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Christopher Moon accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 6 other insurers list Christopher 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 Christopher Moon was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.