JESSICA SUNGAE MOON NPI 1386531168

NPI Information

  • NPI: 1386531168
  • Provider Name: JESSICA SUNGAE MOON
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • Address: 136 S MAIN ST
    NORTH WALES, PA
    ZIP 19454
  • Phone: (609) 358-0508

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NPI Details

Jessica Sungae Moon is a professional counselor in North Wales, PA. Jessica Sungae Moon NPI is 1386531168. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

136 S MAIN ST
NORTH WALES, PA
ZIP 19454-863
Phone: (609) 358-0508

The enumeration date for this NPI number is 6/23/2025 and was last updated on 6/23/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessionalPC007968PENNSYLVANIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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