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

Summer Moon, LPC

Individual provider Counselor · NPI 1144182650

Summer Moon, LPC is a Mental Health Counselor in Lagrange, Georgia. Qualified in 2021, 5 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
5
Licensed in
GA
In the registry since
2025
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

401 Ridley Ave
Lagrange, GA 30240-2267
Phone: (706) 756-1970
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence LPC014910 (GA)

Record details

NPI number1144182650
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorYes
NPI enumeratedDecember 2, 2025
Last updated in NPPESDecember 2, 2025
Certification dateDecember 2, 2025
Mailing address121 Crestview Rd, West Point, GA 31833-5221

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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