The Luna Therapy & Wellness Center

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

THE LUNA THERAPY & WELLNESS CENTER

Practice address

2530 Scottsville Rd Ste 22
Bowling Green, KY 42104-6509

Phone

(270) 864-6872

NPI assigned

Nov 16, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jessica L Stunson, LCSWNPI 1720437569

Title

Ceo

Phone

(270) 799-7247

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jessica L Stunson, LCSW

  • Clinical Social Worker
  • Bowling Green, KY
  • NPI 1720437569
  NPD Authorized official
• Elijah Thomas James Young

  • Professional Counselor
  • Bowling Green, KY
  • NPI 1659079572
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1668556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668556800000",
    "number": "1003525254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "443 SAINT PAUL AVE",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421016586",
            "telephone_number": "270-799-7247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530 SCOTTSVILLE RD STE 22",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421046509",
            "telephone_number": "270-864-6872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LUNA THERAPY & WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-16",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A",
        "authorized_official_last_name": "STUNSON",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "270-799-7247",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruthvik Thaghalli Sunil Kumar
• Thames Healthcare Group, LLC (Greenwood Nursing and Rehabilitation Center)
• The Healing Network LLC
• The Kidz Club-PDN, LLC
• The Kindred Village, LLC (The Knapp Clinic)
• The Reading Company LLC
• Clarigel Del Carmen Then Caceres
• Adriane A Thiery, LPCC
• Christopher Matthew Thomas, CRNA
• Debra Gibbs Thomas, APRN

• Clinical Social Worker in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.