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

Q: 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.

Q: What is Soo Moon's specialty?

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

Q: 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.

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: August 09, 2026.

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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, and ordering and referring status from the CMS PECOS system.

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.

Other Providers at the Same Location NPPES 6

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

TREVOR LECOCQ LPCC

Counselor (Professional)