Organization Active NPI

Moonstone Springs Counseling PLLC

  • Mental Health Counselor
  • Colorado Springs, CO
National Provider Identifier
1255039632
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MOONSTONE SPRINGS COUNSELING PLLC
Practice address
3060 N Academy Blvd Ste 300
Colorado Springs, CO 80917-5349
Phone
(719) 828-5560
Fax
(719) 465-5272
NPI assigned
Feb 15, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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

Authorized official

Name
Mary Lauren Foy, LPCNPI 1366976094
Title
Therapist/Co-Owner
Phone
(719) 828-5560

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
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

3060 N Academy Blvd Ste 300
Colorado Springs, CO 80917-5349

Mailing address

3060 N Academy Blvd Ste 300
Colorado Springs, CO 80917-5349
Phone (719) 828-5560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240426002866 CO Part B Supplier - Clinic/Group Practice 6507206331 Receives reassigned benefits from 3 practitioners
Practice locations: Colorado Springs, CO

National Provider Directory

National Provider Directory

Locations

3060 N Academy Blvd
Ste 300
Colorado Springs, CO 80917
Phone (719) 828-5560

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1676419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736208000000",
    "number": "1255039632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3060 N ACADEMY BLVD STE 300",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809175349",
            "telephone_number": "719-828-5560",
            "fax_number": "719-465-5272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3060 N ACADEMY BLVD STE 300",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809175349",
            "telephone_number": "719-828-5560",
            "fax_number": "719-465-5272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOONSTONE SPRINGS COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-15",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A",
        "authorized_official_last_name": "FOY",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "LAUREN",
        "authorized_official_title_or_position": "THERAPIST/CO-OWNER",
        "authorized_official_telephone_number": "719-828-5560",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.