Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Moonwell Therapy LLC

Organization Mental Health Counselor · NPI 1841167103

Moonwell Therapy LLC is a Mental Health Counselor in Portland, Oregon. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4721 SW 45th Ave
Portland, OR 97221-3620
Phone: (512) 900-7602
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1841167103
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shabd Khalsa — Owner/Lpc · (512) 689-7173
NPI enumeratedOctober 21, 2025
Last updated in NPPESOctober 21, 2025
Certification dateOctober 21, 2025
Mailing address4721 Sw 45th Ave, Portland, OR 97221-3620

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