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MARA LAKE MOON
NPI 1992676795
Counselor - Mental Health in Eugene, OR

Active since September 15, 2025
2149 CENTENNIAL PLZ STE 4, EUGENE, OR 97401(541) 741-7107 Get Directions Write a Review

NPPES record last updated: September 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mara Lake Moon NPPES

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

MARA LAKE MOON (NPI 1992676795) is an individual mental health provider in Eugene, Oregon and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1992676795
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMARA LAKE MOON
Location Address2149 CENTENNIAL PLZ STE 4Eugene, OR 97401-2456
Mailing Address78 Centennial Loop Ste AEugene, OR 97401-7900 · (541) 393-0777
Phone(541) 741-7107
Sole ProprietorNo
Enumeration DateSeptember 15, 2025
NPPES CertifiedSeptember 15, 2025
✔ NPI 1992676795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2149 CENTENNIAL PLZ STE 4, Eugene, OR 97401
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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.

MRS. KATIE ELLEN MACCIONNAITH B.S.
Counselor (Mental Health)
2149 CENTENNIAL PLZ STE 4
EUGENE, OR 97401
Lane County (541) 741-7107
MARGARITA ROBLES
Counselor (Addiction (Substance Use Disorder))
2149 CENTENNIAL PLZ STE 4
EUGENE, OR 97401
Lane County (541) 741-7107
CYNTHIA HILDING
Licensed Practical Nurse
2149 CENTENNIAL PLZ STE 4
EUGENE, OR 97401
Lane County (541) 741-7107
WEMIMO AYANNUBI
Counselor (Mental Health)
2149 CENTENNIAL PLZ STE 4
EUGENE, OR 97401
Lane County (541) 741-7101
MARIAH WYNNE BECK SULLIVAN
Counselor (Mental Health)
2149 CENTENNIAL PLZ STE 4
EUGENE, OR 97401
Lane County (541) 741-7107
SHAWNA SMITH
Counselor (Mental Health)
2149 CENTENNIAL PLZ STE 4
EUGENE, OR 97401
Lane County (541) 741-7107
ALBERTO LEPE-ROMERO
Counselor (Mental Health)
2149 CENTENNIAL PLZ STE 4
EUGENE, OR 97401
Lane County (541) 741-7107
VERONICA TERESE VALDEZ
Counselor (Mental Health)
2149 CENTENNIAL PLZ STE 4
EUGENE, OR 97401
Lane County (541) 741-7107

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 Mara Moon's NPI number?

The NPI number for Mara Moon is 1992676795. It was assigned to this individual provider in the NPPES registry on September 15, 2025.

Where is Mara Moon located?

Mara Moon practices at 2149 Centennial Plz Ste 4, Eugene, OR 97401. The listed phone number is (541) 741-7107.

What is Mara 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 Mara Moon was last updated on September 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.