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Active NPI 1376608190 Individual Practitioner Male Practitioner

Christopher Moon , LPC

Counselor - Professional • Lees Summit, MO

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Christopher Moon, LPC is a certified Counselor - Professional practicing in Lees Summit, MO. With approximately 27 years of clinical experience since completing medical education in 1999, Christopher Moon delivers high-quality medical care to the local community at 200 NE MISSOURI RD.

Christopher Moon is affiliated with M A Mirza Llc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Practice Location & Contact Primary Location

Practice Address

200 Ne Missouri Rd
Suite 302

Lees Summit, MO 640864720

Telephone 8165230103
Fax 8163616471
Associated Practice Facility / Clinic
🏢 Kc Pain Centers, Llc Facility NPI 1144211384

Medicare Profile & Education

Medical School

Other

Graduation Year

1999

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Lees Summit, MO

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
27 Yrs +11.7 yrs vs City Avg
City Avg: 15.3 Yrs
State Avg: 13.5 Yrs
Regional Practice Density
158 Specialists

Practicing in Lees Summit, MO (5929 Statewide)

Telehealth Adoption Rate
5.7% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Moon (27 Years) 27 Yrs
Lees Summit Specialty Average (15.3 Years) 15.3 Yrs

Medical Specialties & State Licenses

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License MO 2002032340

Definition to come...

Hospital & Practice Group Affiliations

M A Mirza Llc

4045 Ne Lakewood Way, Lees Summit, MO 640641995

Phone: 8168862184

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
Stacey Mason , LPC

Counselor - Professional

NPI 1073670501

Licensed Professional Counselor

NPI 1114082930

Licensed Clinical Social Worker

Dr. John Pro , MD

Psychiatry & Neurology - Psychiatry

NPI 1306833652

Doctor of Medicine (M.D.)

Dr. Krishna Divadeenam , MD

Psychiatry & Neurology - Psychiatry

NPI 1376652149

Doctor of Medicine (M.D.)

Perry Lyon , LPC

Counselor - Mental Health

NPI 1457758690

Licensed Professional Counselor

Dr. Philip Khoury , MD

Psychiatry & Neurology - Psychiatry

NPI 1710974076

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 200 NE MISSOURI RD, SUITE 302, LEES SUMMIT, MO 640864720 (Tel: 8165230103)

📍
Updated Business Mailing Address July 08, 2007

Registered at 200 NE MISSOURI RD, SUITE 302, LEES SUMMIT, MO 640864720 (Tel: 8165230103)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as CHRISTOPHER MOON, LPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Counselor (License #2002032340 in MO)

🟢
Initial NPI Registration & Enumeration December 22, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1376608190
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 22, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

200 Ne Missouri Rd, Suite 302

Lees Summit, MO 640864720

Phone: 8165230103

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.