JENNIFER MOON MA
NPI 1558016006
Counselor - Professional in Mccall, ID

Active since February 14, 2022
125 COMMERCE ST STE B, MCCALL, ID 83638(208) 890-8604 Get Directions Write a Review

NPPES record last updated: February 14, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jennifer Moon Ma NPPES

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

JENNIFER MOON MA (NPI 1558016006) is an individual professional provider in Mccall, Idaho and active in the NPI registry since February 2022.

NPPES Registry Identity

NPI1558016006
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJENNIFER MOONCredential: MA
Location Address125 COMMERCE ST STE BMccall, ID 83638-5192
Mailing Address125 Commerce St Ste BMccall, ID 83638-5192 · (208) 890-8604
Sole ProprietorYes
Enumeration DateFebruary 14, 2022
NPPES CertifiedJanuary 21, 2022
NPI 1558016006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
125 COMMERCE ST STE B, Mccall, ID 83638

Other Providers at the Same Location NPPES 2

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

Social Worker
125 COMMERCE ST STE B
MCCALL, ID 83638
Counselor (Mental Health)
125 COMMERCE ST STE B
MCCALL, ID 83638

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 Jennifer Moon's NPI number?

The NPI number for Jennifer Moon is 1558016006. It was assigned to this individual provider in the NPPES registry on February 14, 2022.

Where is Jennifer Moon located?

Jennifer Moon practices at 125 Commerce St Ste B, Mccall, ID 83638. The listed phone number is (208) 890-8604.

What is Jennifer 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 Jennifer Moon was last updated on February 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.