Whole Moon Healing LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

WHOLE MOON HEALING LLC

Doing business as

Jade Psychiatry

Practice address

2519 S Shields St
Fort Collins, CO 80526-1855

Phone

(970) 235-1112

NPI assigned

Feb 10, 2025

Organization subpart

No

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

Authorized official

Name

Elizabeth Connor, PMHNPNPI 1306436142

Title

Owner

Phone

(720) 445-1258

Specialties & licenses 1

Addresses

Other names 1

• Jade Psychiatry Doing business as

Practitioners 1

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

• Elizabeth Connor, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Fort Collins, CO
  • NPI 1306436142
  NPD Authorized official

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

{
    "created_epoch": "1739145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739664000000",
    "number": "1326853193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2519 S SHIELDS ST STE 1K",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805261855",
            "telephone_number": "970-235-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2519 S SHIELDS ST",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805261855",
            "telephone_number": "970-235-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLE MOON HEALING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-10",
        "last_updated": "2025-02-16",
        "certification_date": "2025-02-16",
        "status": "A",
        "authorized_official_last_name": "CONNOR",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-445-1258",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jade Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Jade Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Megan Whitt
• Lisa M Whittaker, PA-C
• Brenna B Whittey, AUD
• Weston Wayne Whittington, M.D.
• Richard R Whittlesey, PH.D.
• Wholehearted Healing, LLC (Dr. Rhonda Marcus, ND)
• Wholeness Center, P.C.
• Wholeness Health, LLC
• Wholeness Health, LLC (Wholeness Center)
• Wholeness Health, LLC

• Psychiatric/Mental Health Nurse Practitioner in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Psychiatric/Mental Health Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.