New Moon Ecotherapy PLLC
NPI 1124890165 · Adult Mental Health Clinic/Center · Seattle, WA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
New Moon Ecotherapy PLLC is a Adult Mental Health Clinic/Center organization in Seattle, WA (NPI 1124890165).
Provider details
- NPI number
- 1124890165
- Entity type
- Organization
- Primary specialty
- Adult Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Ari Bonagofski, Owner(206) 552-8857
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
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
Mailing address
Other names (DBA / former)
- Doing business as
- New Moon Ecotherapy
Registry dates
- Enumerated
- 2023-10-24
- Last updated
- 2023-10-24
- Certified
- 2023-10-24
Frequently asked questions
- What is New Moon Ecotherapy PLLC's NPI number?
- New Moon Ecotherapy PLLC's National Provider Identifier (NPI) is 1124890165, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is New Moon Ecotherapy PLLC?
- New Moon Ecotherapy PLLC is classified in the NPPES registry as Adult Mental Health Clinic/Center (Ambulatory Health Care Facilities).
- Where is New Moon Ecotherapy PLLC located?
- New Moon Ecotherapy PLLC's practice location on file with NPPES is 4501 15th Ave S Ste 102, Seattle, WA 98108-1874.
- What is New Moon Ecotherapy PLLC's phone number?
- The practice phone number listed in the NPPES registry for New Moon Ecotherapy PLLC is (206) 552-8857.
- Does New Moon Ecotherapy PLLC accept Medicare?
- New Moon Ecotherapy PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for New Moon Ecotherapy PLLC?
- The authorized official listed on New Moon Ecotherapy PLLC's NPPES record is Ari Bonagofski, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is New Moon Ecotherapy PLLC's NPI active?
- Yes — New Moon Ecotherapy PLLC's NPI (1124890165) is active in the NPPES registry as of the last update on 2023-10-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.