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

New Moon Mental Health LLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1508647983

New Moon Mental Health LLC is a Psychiatric/Mental Health Nurse Practitioner in Idaho Falls, Idaho. Registered with an NPI since 2023.

In the registry since
2023
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

1970 E 17th St Ste 111B
Idaho Falls, ID 83404-8046
Phone: (208) 541-5257
Fax: (208) 742-2695
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1508647983
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Denise Barnes — Owner · (208) 716-6445
NPI enumeratedOctober 11, 2023
Last updated in NPPESOctober 11, 2023
Certification dateOctober 11, 2023
Mailing address1970 E 17th St Ste 111b, Idaho Falls, ID 83404-8046

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