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MIKELLE MILES MOONEY LPCC
NPI 1396435772
Counselor - Mental Health in Larkspur, CA

Active since May 10, 2023
5 BON AIR RD STE 105, LARKSPUR, CA 94939(415) 461-0440 Get Directions Write a Review

NPPES record last updated: June 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 5, 2024, May 10, 2023 (2 updates tracked since 2023).

About Mikelle Miles Mooney Lpcc NPPES

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

MIKELLE MILES MOONEY LPCC (NPI 1396435772) is an individual mental health provider in Larkspur, California, licensed in California (LPCC13829) and active in the NPI registry since May 2023. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1396435772
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMIKELLE MILES MOONEYCredential: LPCC
Location Address5 BON AIR RD STE 105Larkspur, CA 94939-1137
Mailing Address1110 Mission Ave Unit CSan Rafael, CA 94901-2915
Phone(415) 461-0440
Sole ProprietorYes
Enumeration DateMay 10, 2023
Last NPPES UpdateJune 5, 20242 updates tracked since enumeration
NPPES CertifiedJune 4, 2024
✔ NPI 1396435772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in CA · LPCC13829
5 BON AIR RD STE 105, Larkspur, CA 94939
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Secondary Practice Locations 2

Location 11110 Mission Ave Unit CSan Rafael, CA 94901-2915 · Phone (202) 580-5358
Location 2251 Vintage WayNovato, CA 94945-5004 · Phone (415) 892-0965

Other Providers at the Same Location NPPES 8

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

THERESA HALL LMFT
Marriage & Family Therapist
5 BON AIR RD STE 105
LARKSPUR, CA 94939
Marin County (415) 461-0440
NICOLE LEARNED M.D.
Pediatrics
5 BON AIR RD STE 105
LARKSPUR, CA 94939
Marin County (415) 461-0440
JACOB M PALMQUIST MD
Pediatrics
5 BON AIR RD STE 105
LARKSPUR, CA 94939
Marin County (415) 461-0440
ELIZAVETA IGNATOVA MD
Pediatrics
5 BON AIR RD STE 105
LARKSPUR, CA 94939
Marin County (415) 461-0440
GEORGIA ANNE BALDWIN
Counselor (Professional)
5 BON AIR RD STE 105
LARKSPUR, CA 94939
Marin County (415) 461-0440
CHERYL ZAPPAS TANNENBAUM NP
Nurse Practitioner (Adult Health)
5 BON AIR RD STE 105
LARKSPUR, CA 94939
Marin County (415) 461-0440
KRISTIN MOSCHETTI MD
Pediatrics
5 BON AIR RD STE 105
LARKSPUR, CA 94939
Marin County (415) 461-0440
MADELEINE HANKS
Pediatrics
5 BON AIR RD STE 105
LARKSPUR, CA 94939
Marin County (415) 461-0440

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 Mikelle Miles Mooney's NPI number?

The NPI number for Mikelle Miles Mooney is 1396435772. It was assigned to this individual provider in the NPPES registry on May 10, 2023.

Where is Mikelle Miles Mooney located?

Mikelle Miles Mooney practices at 5 Bon Air Rd Ste 105, Larkspur, CA 94939. The listed phone number is (415) 461-0440.

What is Mikelle Miles Mooney's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Mikelle Miles Mooney was last updated on June 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.