Fenwood Licensed Professional Clinical Counselor, PC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

FENWOOD LICENSED PROFESSIONAL CLINICAL COUNSELOR, PC

Practice address

5800 Stanford Ranch Rd Ste 610
Rocklin, CA 95765-4387

Phone

(916) 251-9474

NPI assigned

Apr 10, 2024

Organization subpart

No

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

Authorized official

Name

Lindsey Buck-Moyer, LPCCNPI 1639506389

Title

Owner/Ceo

Phone

(916) 251-9474

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Lindsey Buck-Moyer

  • Professional Counselor
  • Rocklin, CA
  • NPI 1639506389
  NPD Authorized official

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

{
    "created_epoch": "1712707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712707200000",
    "number": "1114770989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8690 SIERRA COLLEGE BLVD STE 160-140",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956615961",
            "telephone_number": "916-251-9474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 STANFORD RANCH RD STE 610",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "957654387",
            "telephone_number": "916-251-9474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FENWOOD LICENSED PROFESSIONAL CLINICAL COUNSELOR, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-10",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A",
        "authorized_official_last_name": "BUCK-MOYER",
        "authorized_official_first_name": "LINDSEY",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "916-251-9474",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Faudree, LMFT
• Anzhela Fedchik
• Loren Alexander Fefer, M.D.
• Volkmar Isam Felahy, D.D.S.
• Marissa Lynn Felker
• Leslie Fernandez, OTR/L
• Aspen Dale Fernando
• Shawn Christian Ferrari
• Ben Ferreira-Pro
• Andrey Feytser, ASW

• Mental Health Clinic/Center (Including Community Mental Health Center) in Rocklin, CA
• Providers in Rocklin, CA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; 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.