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SOO Y MOON MA, LMFT
NPI 1548539042
Marriage & Family Therapist in Vadnais Heights, MN

Active since December 29, 2011PECOS EnrolledAccepts Medicare Assignment
1056 CENTERVILLE CIR, VADNAIS HEIGHTS, MN 55127(651) 604-7771(651) 426-8116 Get Directions Write a Review

NPPES record last updated: November 26, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Soo Y Moon Ma, Lmft NPPES

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

SOO Y MOON MA, LMFT (NPI 1548539042) is an individual marriage & family therapist in Vadnais Heights, Minnesota, licensed in Minnesota (2209) and active in the NPI registry since December 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1548539042
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameSOO Y MOONCredential: MA, LMFT
Location Address1056 CENTERVILLE CIRVadnais Heights, MN 55127-6360
Mailing Address1056 Centerville CirVadnais Heights, MN 55127-6360 · (651) 604-8116
Phone(651) 604-7771
Fax(651) 426-8116
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateDecember 29, 2011
Last NPPES UpdateNovember 26, 2014
✔ NPI 1548539042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in MN · 2209
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
1056 CENTERVILLE CIR, Vadnais Heights, MN 55127
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.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

Soo Y Moon Ma, Lmft 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 ID4486944196
PECOS Enrollment IDI20240228000284
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 Soo Moon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Parker Collins Family Mental Health, PLLC
Same address
Community/Behavioral Health
1056 CENTERVILLE CIR
Vadnais Heights, MN 55127
  • Reassigned Medicare billing, Minnesota enrollment
  • 10 clinicians in this Medicare group
NPI 1487927067 (651) 604-7771

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 7

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

TREVOR LECOCQ LPCC
Counselor (Professional)
1056 CENTERVILLE CIR
VADNAIS HEIGHTS, MN 55127
Ramsey County (651) 604-7771
CHARLES L HOHL LCPC
Counselor (Professional)
1056 CENTERVILLE CIR
VADNAIS HEIGHTS, MN 55127
Ramsey County (651) 493-2216
JOSHUA F JANUSCHKA MA, LPCC
Counselor
1056 CENTERVILLE CIR
VADNAIS HEIGHTS, MN 55127
Ramsey County (651) 604-7771
PARKER COLLINS FAMILY MENTAL HEALTH, PLLC
Community/Behavioral Health
1056 CENTERVILLE CIR
VADNAIS HEIGHTS, MN 55127
Ramsey County (651) 604-7771
AUBREE ROSE ELMQUIST
Marriage & Family Therapist
1056 CENTERVILLE CIR
VADNAIS HEIGHTS, MN 55127
Ramsey County (651) 604-7771
REIDE T BIBEAU-PEPER
Counselor (Mental Health)
1056 CENTERVILLE CIR
VADNAIS HEIGHTS, MN 55127
Ramsey County (651) 604-7771
GRACE BRYANT MA, LPCC, LADC
Counselor (Mental Health)
1056 CENTERVILLE CIR
VADNAIS HEIGHTS, MN 55127
Ramsey County (763) 400-8000

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 Soo Moon's NPI number?

The NPI number for Soo Moon is 1548539042. It was assigned to this individual provider in the NPPES registry on December 29, 2011.

Where is Soo Moon located?

Soo Moon practices at 1056 Centerville Cir, Vadnais Heights, MN 55127. The listed phone number is (651) 604-7771.

What is Soo Moon's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Soo Moon enrolled in Medicare?

Yes. Soo 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 Soo Moon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Soo Moon reassigns Medicare benefits to Parker Collins Family Mental Health, PLLC (Vadnais Heights, MN). 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 Soo Moon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Soo Moon accept?

Health plans from HealthPartners list Soo 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 Soo Moon was last updated on November 26, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.