Grounded Light LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

GROUNDED LIGHT LLC

Practice address

421 South Howes Street
Fort Collins, CO 80521

Phone

(402) 889-3527

NPI assigned

May 27, 2025

Organization subpart

No

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

Authorized official

Name

Lisa Permar

Title

Owner/Practice Manager

Phone

(402) 889-3527

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1748304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750809600000",
    "number": "1003609595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2519 S SHIELDS STREET",
            "address_2": "STE 1K PMB 1063",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805261855",
            "telephone_number": "402-889-3527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 SOUTH HOWES STREET",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "80521",
            "telephone_number": "402-889-3527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROUNDED LIGHT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-27",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A",
        "authorized_official_last_name": "PERMAR",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER/PRACTICE MANAGER",
        "authorized_official_telephone_number": "402-889-3527"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; 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.