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TISHA MOON
NPI 1578137691
Counselor - Mental Health in Vienna, VA

Active since May 13, 2021
114 CHURCH ST NW STE 205, VIENNA, VA 22180(540) 999-8474 Get Directions Write a Review

NPPES record last updated: May 13, 2021. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Tisha Moon NPPES

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

TISHA MOON (NPI 1578137691) is an individual mental health provider in Vienna, Virginia, licensed in Virginia (0701010496) and active in the NPI registry since May 2021.

NPPES Registry Identity

NPI1578137691
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTISHA MOON
Location Address114 CHURCH ST NW STE 205Vienna, VA 22180-4507
Mailing Address11218 Beaver Trail CtReston, VA 20191-4321
Phone(540) 999-8474
Sole ProprietorYes
Enumeration DateMay 13, 2021
NPPES CertifiedOctober 26, 2020
✔ NPI 1578137691 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 VA · 0701010496
114 CHURCH ST NW STE 205, Vienna, VA 22180
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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 Tisha Moon's NPI number?

The NPI number for Tisha Moon is 1578137691. It was assigned to this individual provider in the NPPES registry on May 13, 2021.

Where is Tisha Moon located?

Tisha Moon practices at 114 Church St NW Ste 205, Vienna, VA 22180. The listed phone number is (540) 999-8474.

What is Tisha Moon'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 Tisha Moon was last updated on May 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.