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JASMINE S MOON
NPI 1619483674
Counselor - Mental Health in Columbus, GA

Active since December 28, 2017
1921 WHITTLESEY RD STE 400, COLUMBUS, GA 31904(706) 571-7771 Get Directions Write a Review

NPPES record last updated: April 27, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 27, 2018, Mar 15, 2018, Dec 28, 2017 (3 updates tracked since 2017).

About Jasmine S Moon NPPES

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

JASMINE S MOON (NPI 1619483674) is an individual mental health provider in Columbus, Georgia and active in the NPI registry since December 2017.

NPPES Registry Identity

NPI1619483674
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJASMINE S MOON
Location Address1921 WHITTLESEY RD STE 400Columbus, GA 31904-9211
Mailing Address1921 Whittlesey Rd Ste 400Columbus, GA 31904-9211 · (706) 571-7771
Phone(706) 571-7771
Sole ProprietorNo
Enumeration DateDecember 28, 2017
Last NPPES UpdateApril 27, 20183 updates tracked since enumeration
✔ NPI 1619483674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1921 WHITTLESEY RD STE 400, Columbus, GA 31904
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Other Names 1

Other Name (5)Jasmine S Moon

Other Identifiers 1

Medicaid110026265EMA

Other Providers at the Same Location NPPES 20

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

CASSANDRA GRUBER
Behavior Analyst
1921 WHITTLESEY RD STE 400
COLUMBUS, GA 31904
Muscogee County (706) 221-9629
ELIZABETH CHARLESTON
Behavior Analyst
1921 WHITTLESEY RD STE 400
COLUMBUS, GA 31904
Muscogee County (706) 221-9629
DANIELLE HANKERSON
Behavior Analyst
1921 WHITTLESEY RD STE 400
COLUMBUS, GA 31904
Muscogee County (706) 221-9629
PAULETTE A BRUNO
Counselor (Mental Health)
1921 WHITTLESEY RD STE 400
COLUMBUS, GA 31904
Muscogee County (706) 571-7771
JANICE NGUYEN
Behavior Analyst
1921 WHITTLESEY RD STE 400
COLUMBUS, GA 31904
Muscogee County (706) 221-9629
KEON BURNETTE RBT
Behavior Technician
1921 WHITTLESEY RD STE 400
COLUMBUS, GA 31904
Muscogee County (706) 221-9629
GRACE GONZALEZ-FLORES BCBA
Behavior Analyst
1921 WHITTLESEY RD STE 400
COLUMBUS, GA 31904
Muscogee County (706) 229-9629
MADALYNN D MCCAULLEY
Counselor (Mental Health)
1921 WHITTLESEY RD STE 400
COLUMBUS, GA 31904
Muscogee County (706) 571-7771

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 Jasmine Moon's NPI number?

The NPI number for Jasmine Moon is 1619483674. It was assigned to this individual provider in the NPPES registry on December 28, 2017. The provider is also known as Jasmine S Moon.

Where is Jasmine Moon located?

Jasmine Moon practices at 1921 Whittlesey Rd Ste 400, Columbus, GA 31904. The listed phone number is (706) 571-7771.

What is Jasmine 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 Jasmine Moon was last updated on April 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.