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

Jacqueline Moon

Individual provider Mental Health Counselor · NPI 1588011464

Jacqueline Moon is a Mental Health Counselor in Commack, New York. Qualified in 2017, 9 years ago. Practices with Sean Tendler Mental Health Counseling PC, a 10-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
9
Licensed in
NY
In the registry since
2016
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Practice location Address checks out

368 Veterans Memorial Hwy Ste 3
Commack, NY 11725-4322
Phone: (631) 533-0315
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 380 N Broadway Ph E, Jericho, NY 11753-2198 — (631) 533-0315
  • 65 Air Park Dr Ste 10, Ronkonkoma, NY 11779-7374 — (631) 533-0315

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 012058 (NY)

Record details

NPI number1588011464
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 19, 2016
Last updated in NPPESDecember 18, 2024
Certification dateDecember 18, 2024
Mailing address368 Veterans Memorial Hwy Ste 3, Commack, NY 11725-4322

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Sean Tendler Mental Health Counseling Pc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Commack