OrganizationActive
Moonbridge Therapy LLC
NPI 1679395362 · Mental Health Counselor · Bountiful, UT
Provider details
- NPI number
- 1679395362
- Entity type
- Organization
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Mike Klitgaard, Owner(801) 251-6431
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
503 W 2600 S Suite 200, a
Bountiful, UT 84010
Phone: (801) 251-6431
Street-level locationGet directions
Mailing address
Po Box 540032
North Salt Lake, UT 84054-0032
Registry dates
- Enumerated
- 2024-10-25
- Last updated
- 2024-10-25
- Certified
- 2024-10-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.