JESSICA SUNGAE MOON
NPI 1386531168
Counselor - Professional in North Wales, PA

Active since June 23, 2025
136 S MAIN ST, NORTH WALES, PA 19454(609) 358-0508 Get Directions Write a Review

NPPES record last updated: June 23, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jessica Sungae Moon NPPES

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

JESSICA SUNGAE MOON (NPI 1386531168) is an individual professional provider in North Wales, Pennsylvania, licensed in Pennsylvania (PC007968) and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1386531168
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJESSICA SUNGAE MOON
Location Address136 S MAIN STNorth Wales, PA 19454-2863
Mailing Address672 Greycliffe LnAmbler, PA 19002-1951 · (267) 255-6882
Sole ProprietorYes
Enumeration DateJune 23, 2025
NPPES CertifiedJune 23, 2025
NPI 1386531168 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 PA · PC007968
136 S MAIN ST, North Wales, PA 19454

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Counselor
136 S MAIN ST
NORTH WALES, PA 19454

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 Jessica Moon's NPI number?

The NPI number for Jessica Moon is 1386531168. It was assigned to this individual provider in the NPPES registry on June 23, 2025.

Where is Jessica Moon located?

Jessica Moon practices at 136 S Main St, North Wales, PA 19454. The listed phone number is (609) 358-0508.

What is Jessica Moon's specialty?

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

When was this NPI record last updated?

The NPPES record for Jessica Moon was last updated on June 23, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.