Organization Active NPI

Moonstone Wellness LLC

  • Counselor
  • Laramie, WY
National Provider Identifier
1184290199
Registry record updated Jun 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
MOONSTONE WELLNESS LLC
Practice address
217 E Grand Ave Unit 2
Laramie, WY 82070-3604
Phone
(307) 638-0300
Fax
(307) 638-0394
NPI assigned
Jun 1, 2021
Last updated
Jun 1, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2021

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

Authorized official

Name
Lindsay StoffersNPI 1104238633
Title
Owner
Phone
(307) 399-0788

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU Primary

Addresses

Primary practice location

217 E Grand Ave Unit 2
Laramie, WY 82070-3604

Mailing address

PO Box 2417
Cheyenne, WY 82003-2417
Phone (307) 638-0300

National Provider Directory

National Provider Directory

Locations

217 E Grand Ave
Unit 2
Laramie, WY 82070
Phone (307) 223-6110

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1622505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622505600000",
    "number": "1184290199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2417",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820032417",
            "telephone_number": "307-638-0300",
            "fax_number": "307-638-0394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 E GRAND AVE UNIT 2",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820703604",
            "telephone_number": "307-638-0300",
            "fax_number": "307-638-0394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOONSTONE WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-01",
        "last_updated": "2021-06-01",
        "certification_date": "2021-05-28",
        "status": "A",
        "authorized_official_last_name": "STOFFERS",
        "authorized_official_first_name": "LINDSAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-399-0788"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laramie, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2021; 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.