Individual
JACOB MOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LMFT, LPC
Contact information
Practice address
146 MONROE CENTER ST NW STE 1104, GRAND RAPIDS, MI 49503-2820
(616) 626-1082
Mailing address
1809 COLLEGE AVE SE, GRAND RAPIDS, MI 49507-2621
(616) 209-8854
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
6401224962
MI
106H00000X
Marriage & Family Therapist
Primary
4101007162
MI
Other
Enumeration date
02/19/2019
Last updated
09/30/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us