PINK MOON HC A LICENSED CLINICAL SOCIAL WORKER CORPORATION
NPI 1659191179
Public Health or Welfare in Los Angeles, CA
About Pink Moon Hc A Licensed Clinical Social Worker Corporation NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PINK MOON HC A LICENSED CLINICAL SOCIAL WORKER CORPORATION (NPI 1659191179) is a healthcare organization registered as a public health or welfare in Los Angeles, California and active in the NPI registry since October 2024. The organization lists Aubri Gomez, Founder/psychotherapist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Pink Moon Hc A Licensed Clinical Social Worker Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Pink Moon Hc A Licensed Clinical Social Worker Corporation, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Pink Moon Hc A Licensed Clinical Social Worker Corporation's NPI number?
The NPI number for Pink Moon Hc A Licensed Clinical Social Worker Corporation is 1659191179. It was assigned to this organization in the NPPES registry on October 10, 2024.
Where is Pink Moon Hc A Licensed Clinical Social Worker Corporation located?
Pink Moon Hc A Licensed Clinical Social Worker Corporation is located at 341 N Reno St, Los Angeles, CA 90026. The listed phone number is (213) 703-6234.
What is Pink Moon Hc A Licensed Clinical Social Worker Corporation's specialty?
The primary specialty registered for this NPI is Public Health or Welfare with taxonomy code 251K00000X.
Is Pink Moon Hc A Licensed Clinical Social Worker Corporation enrolled in Medicare?
Yes. Pink Moon Hc A Licensed Clinical Social Worker Corporation is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Pink Moon Hc A Licensed Clinical Social Worker Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Pink Moon Hc A Licensed Clinical Social Worker Corporation. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Pink Moon Hc A Licensed Clinical Social Worker Corporation was last updated on October 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Pink Moon Hc A Licensed Clinical Social Worker Corporation · NPI 1659191179
Public Health or Welfare organization in Los Angeles, California. Organization record, active in the CMS NPPES registry since October 10, 2024.
## Identity
- **NPI:** 1659191179 (Entity type: Organization)
- **Enumerated:** October 10, 2024
- **Primary specialty:** Public Health or Welfare · taxonomy 251K00000X
- **Organization subpart:** No
- **Authorized official:** Aubri Gomez, FOUNDER/PSYCHOTHERAPIST
## Practice location
- **Address:** 341 N RENO ST, Los Angeles, CA 90026-4507
- **Phone:** (213) 703-6234
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Clinical Social Worker) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 10, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1659191179) · Data from the CMS NPPES public registry.