Jacqueline Moon
NPI 1588011464 · Mental Health Counselor · Commack, NY
Enrolled with Medicare as Practitioner - Mental Health Counselor · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jacqueline Moon is a Mental Health Counselor provider in Commack, NY (NPI 1588011464).
Provider details
- NPI number
- 1588011464
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 012058 (NY)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
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
Additional practice locations (2)
- 380 N Broadway Ph EJericho, NY 11753-2198Phone: (631) 533-0315Fax: (855) 752-5170
- 65 Air Park Dr Ste 10Ronkonkoma, NY 11779-7374Phone: (631) 533-0315Fax: (855) 752-5170
Registry dates
- Enumerated
- 2016-05-19
- Last updated
- 2024-12-18
- Certified
- 2024-12-18
Frequently asked questions
- What is Jacqueline Moon's NPI number?
- Jacqueline Moon's National Provider Identifier (NPI) is 1588011464, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacqueline Moon's specialty?
- Jacqueline Moon is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Jacqueline Moon located?
- Jacqueline Moon's practice location on file with NPPES is 368 Veterans Memorial Hwy Ste 3, Commack, NY 11725-4322.
- What is Jacqueline Moon's phone number?
- The practice phone number listed in the NPPES registry for Jacqueline Moon is (631) 533-0315.
- Does Jacqueline Moon accept Medicare?
- Jacqueline Moon is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jacqueline Moon's NPI active?
- Yes — Jacqueline Moon's NPI (1588011464) is active in the NPPES registry as of the last update on 2024-12-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.