Beautiful Moon Health & Wellness, Ltd.
NPI 1093597619ActiveOrganization· Social Worker, Clinical· Parker, CO
Social Worker, Clinical in Parker, Colorado, registered in NPPES in October 2023. The authorized official on file is Javonni Henderson, LCSW, Owner.
Overview
| NPI | 1093597619 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 18, 2023 |
| Last updated in NPPES | Dec 15, 2023 |
| Certified by provider | Dec 15, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
| Nutritionist, Nutrition, Education | 133NN1002X | — | — |
| Mechanotherapist | 172M00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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