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MOONBRIDGE THERAPY LLC
NPI 1679395362
Counselor - Mental Health in Bountiful, UT

Active since October 25, 2024
503 W 2600 S SUITE 200, A, BOUNTIFUL, UT 84010(801) 251-6431 Get Directions Write a Review

NPPES record last updated: October 25, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Moonbridge Therapy Llc NPPES

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

MOONBRIDGE THERAPY LLC (NPI 1679395362) is a healthcare organization registered as a mental health in Bountiful, Utah and active in the NPI registry since October 2024. The organization lists Mike Kaare Klitgaard, Owner, as its authorized official.

NPPES Registry Identity

NPI1679395362
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameMOONBRIDGE THERAPY LLC
Location Address503 W 2600 S SUITE 200, ABountiful, UT 84010
Mailing AddressPo Box 540032North Salt Lake, UT 84054-0032 · (801) 251-6431
Phone(801) 251-6431
Organization SubpartNo
Authorized OfficialMike Kaare KlitgaardOwner · (801) 251-6431
Enumeration DateOctober 25, 2024
NPPES CertifiedOctober 24, 2024
✔ NPI 1679395362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
503 W 2600 S SUITE 200, A, Bountiful, UT 84010
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah.Insurance ›

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 Moonbridge Therapy LLC's NPI number?

The NPI number for Moonbridge Therapy LLC is 1679395362. It was assigned to this organization in the NPPES registry on October 25, 2024.

Where is Moonbridge Therapy LLC located?

Moonbridge Therapy LLC is located at 503 W 2600 S Suite 200, A, Bountiful, UT 84010. The listed phone number is (801) 251-6431.

What is Moonbridge Therapy LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

What insurance does Moonbridge Therapy LLC accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Utah list Moonbridge Therapy LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Moonbridge Therapy LLC was last updated on October 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.