OrganizationActive
Beautiful Moon Health & Wellness, Ltd.
NPI 1093597619 · Clinical Social Worker · Parker, CO
Provider details
- NPI number
- 1093597619
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Javonni Henderson, Owner(510) 256-9794
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Nutrition Education Nutritionist133NN1002X
Dietary & Nutritional Service Providers
- Mechanotherapist172M00000X
Other Service Providers
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
19590 E Mainstreet Ste 202
Parker, CO 80138-7371
Phone: (720) 544-3801
Street-level locationGet directions
Mailing address
18121 E Hampden Ave Ste C1079
Aurora, CO 80013-3590
Registry dates
- Enumerated
- 2023-10-18
- Last updated
- 2023-12-15
- Certified
- 2023-12-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.