Light & Lotus Wellness PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

LIGHT & LOTUS WELLNESS PLLC

Practice address

202 6TH St Ste 301E
Castle Rock, CO 80104-1731

Phone

(720) 515-4710

NPI assigned

Dec 4, 2023

Organization subpart

No

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

Authorized official

Name

Stacey Hostetter, LCSWNPI 1558766584

Title

Owner

Phone

(720) 515-4710

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 1

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

• Stacey Hostetter, LCSW

  • Clinical Social Worker
  • Lincolnton, NC
  • NPI 1558766584

  CO

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1701648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701648000000",
    "number": "1598531204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 6TH ST STE 301E",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801041731",
            "telephone_number": "720-515-4710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 6TH ST STE 301E",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801041731",
            "telephone_number": "720-515-4710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHT & LOTUS WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-04",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A",
        "authorized_official_last_name": "HOSTETTER",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-515-4710",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Deanne Lincoln, RN
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• Clinical Social Worker in Castle Rock, CO
• Providers in Castle Rock, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; 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.