P Praxis·MD
● Active Type 1 · Individual

Summer Moon, LPC

Counselor·Lagrange, GA· NPI 1144182650 · Enumerated 2025 · 0 years on NPI
Moon is 1 of 15 counselor providers in Lagrange and 1 of 1686 in Georgia.
NPI age
— years
Enumerated 2025-12-02
Primary specialty
Counselor
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-12-02
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 1686 active counselor providers in Georgia.

NPI age
0 years
↓ 7 yr below median (7 yr)
State licenses
1 state
2% of peers hold multiple states
Subspecialties
0
15% of peers hold subspecialties

NPI lifetime · 2025 → 2026

2025-12Enumerated in NPPES
2025 2026

Where they practice

Practice location
401 Ridley Ave
Lagrange, GA 302402267
📞 7067561970
Mailing address
121 Crestview Rd
West Point, GA 318335221
📞 7065850204

Specialties

  • Counselor Primary
    A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical...
    GA license #LPC014910 taxonomy 101Y00000X

Practice context

Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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