Winter Moon Child & Family Counseling LLC

Primary specialty

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

Legal business name

WINTER MOON CHILD & FAMILY COUNSELING LLC

Practice address

516 2ND Ave Ste 211
Fairbanks, AK 99701-4739

Phone

(907) 750-2540

NPI assigned

Aug 29, 2024

Last updated

Aug 29, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Emily MatthewNPI 1558847947

Title

Owner

Phone

(907) 750-2540

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Emily Matthew

  • Clinical Social Worker
  • Fairbanks, AK
  • NPI 1558847947
  NPD Authorized official

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

{
    "created_epoch": "1724889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724889600000",
    "number": "1790519023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 OLD STEESE HIGHWAY",
            "address_2": "SUITE B #222",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "99701",
            "telephone_number": "907-750-2540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 2ND AVE STE 211",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997014739",
            "telephone_number": "907-750-2540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINTER MOON CHILD & FAMILY COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-29",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A",
        "authorized_official_last_name": "MATTHEW",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-750-2540"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy E. Winford, LPC
• Artisha J Winfrey
• Allison K Wing
• Nicole Winiarski-Pham, PHARMD
• Savannah Wesley Winner, PT
• Erin Winters, DDS
• Tomi Winters, M. ED.
• Shannon Winterton
• Lauren Wise
• David Witham, M.D.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; 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.