Individual provider · Type 1 NPI

Jacob Moon, MS, LMFT, LPC

Marriage & Family Therapist · Grand Rapids, MI

NPI number 1831655422 Active

Practice location

146 Monroe Center St NW Ste 1104
Grand Rapids, MI 49503-2820

Call (616) 626-1082 Map

Mailing address

1809 College Ave SE
Grand Rapids, MI 49507-2621

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000X4101007162 (MI)
Mental Health Counselor 101YM0800X6401224962 (MI)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1831655422

Jacob Moon, MS, LMFT, LPC's National Provider Identifier is 1831655422, issued on Feb 19, 2019. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Sep 30, 2025.