Rising Moon Therapy, LLC

Primary specialty

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

Legal business name

RISING MOON THERAPY, LLC

Practice address

375 Park Ave Ste 2
Coos Bay, OR 97420-2242

Phone

(541) 435-0304

Fax

(541) 394-4142

NPI assigned

Jul 14, 2022

Organization subpart

No

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

Authorized official

Name

Johanna Curelo, LPC, ATR-BCNPI 1255542973

Title

Owner/Licensed Prof. Counselor

Phone

(541) 435-0304

Specialties & licenses 1

Addresses

Practitioners 2

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.

• Johanna Curelo, LPC, ATR-BC

  • Professional Counselor
  • Coos Bay, OR
  • NPI 1255542973
  NPD Authorized official
• Jana Lynn Rivers-Norton, PHD

  • Mental Health Counselor
  • Coos Bay, OR
  • NPI 1518644772
  NPD

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

{
    "created_epoch": "1657756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657756800000",
    "number": "1699409623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 426",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974200048",
            "telephone_number": "541-435-0304",
            "fax_number": "541-394-4142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 PARK AVE STE 2",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974202242",
            "telephone_number": "541-435-0304",
            "fax_number": "541-394-4142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISING MOON THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-14",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-14",
        "status": "A",
        "authorized_official_last_name": "CURELO",
        "authorized_official_first_name": "JOHANNA",
        "authorized_official_title_or_position": "OWNER/LICENSED PROF. COUNSELOR",
        "authorized_official_telephone_number": "541-435-0304",
        "authorized_official_credential": "LPC, ATR-BC"
    },
    "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": []
}

• Sharon Lee Richmond, LMT
• Megan Ridle, LPC, CADC-I
• Christopher Hales Riehl, PA-C
• Richard T Rigney
• Andrew Douglas Ringle, DDS
• Rivers Edge Behavioral Health LLC
• Jana Lynn Rivers-Norton, PHD
• Robert M Richards, D.C., P.C. (Family Chiropractic Center)
• Shea Lyn Short Robinson, ED.S, NCSP
• Sarah Ann Rodgers

• Mental Health Clinic/Center (Including Community Mental Health Center) in Coos Bay, OR
• Providers in Coos Bay, OR by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2022; 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.