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

Stefanie Moon

Individual provider Case Manager/Care Coordinator · NPI 1346891009

Stefanie Moon is a Mental Health Counselor in Fairborn, Ohio. Qualified in 2025, 1 year ago. Licensed in Ohio.

Years since qualifying
1
Licensed in
OH
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

1457 Spicetree Cir Apt 202
Fairborn, OH 45324-7105
Phone: (937) 408-5900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence C.2507154 (OH)
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1346891009
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 24, 2019
Last updated in NPPESJanuary 26, 2026
Certification dateJanuary 26, 2026
Mailing address1457 Spicetree Cir Apt 202, Fairborn, OH 45324-7105

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

Other providers in Fairborn